2025-11-13T11:27:52-05:00 2024-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 07981 990 2024-01-01 221487173 ENGLEWOOD HOSPITAL AND MEDICAL CENTER % ANTHONY T ORLANDO ENGL 2018943037 350 ENGLE STREET ENGLEWOOD NJ 07631 ANTHONY ORLANDO EVP, FINANCE/CFO 2018943280 2025-11-15 true true Scott J Mariani P00642486 9738989494 2024 2025-03-06 01:10:19Z ENGLEWOOD HOSPITAL ANTHONY ORLANDO 350 ENGLE STREET ENGLEWOOD NJ 07631 1193971874 false X WWW.ENGLEWOODHEALTH.ORG X 1888 NJ TO PROVIDE COMPREHENSIVE, STATE-OF-THE- ART PATIENT SERVICES, EMPHASIZE CARING AND OTHER HUMAN VALUES IN THE TREATMENT OF PATIENTS AND IN RELATIONS WITH THEIR FAMILIES. 21 19 3868 325 0 0 8044220 6061513 1076996798 1178908273 2808058 5399863 3478862 3602225 1091327938 1193971874 0 0 0 0 276982554 280897415 0 0 0 802170884 881072320 1079153438 1161969735 12174500 32002139 901663731 933750279 445660794 434409658 456002937 499340621 X TO PROVIDE COMPREHENSIVE, STATE-OF-THE-ART PATIENT SERVICES; EMPHASIZE CARING AND OTHER HUMAN VALUES IN THE TREATMENT OF PATIENTS AND IN RELATIONS WITH THEIR FAMILIES, AND AMONG EMPLOYEES, MEDICAL STAFF, AND COMMUNITY; BE A CENTER OF EDUCATION AND RESEARCH; AND PROVIDE EMPLOYEES AND MEDICAL STAFF WITH MAXIMUM OPPORTUNITIES TO ACHIEVE THEIR PERSONAL AND PROFESSIONAL GOALS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. false false 1011638541 0 1178908273 EXPENSES INCURRED IN PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY MEDICALLY NECESSARY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT (STATEMENT OF PROGRAM SERVICES) WHICH INCLUDES DETAILED INFORMATION REGARDING THE VARIOUS SERVICES PROVIDED BY THIS ORGANIZATION. 1011638541 true true false true false false false false false false true false true true true true false true false false false false false false false false true true false false true false false false false false false true false false false false false true true true true false false true X 492 0 true 3868 true false false false false false false false false false false true false X 21 19 true false false false true true true true true false false true true true true true true true true true true NJ X X ANTHONY T ORLANDO 2018943280 350 ENGLE STREET ENGLEWOOD NJ 07631 X WARREN GELLER SECRETARY - TRUSTEE; PRES/CEO 55.0 8.0 X X 2382784 0 336466 ANTHONY T ORLANDO EVP, FINANCE/CFO 55.0 8.0 X 1160274 0 63318 HELENE D WOLK EVP, OPERATIONS/COO 55.0 0.0 X 1053294 0 24727 PATRICIA G WILSON SVP, HUMAN RESOURCES/CHRO 55.0 0.0 X 846468 0 53407 MICHAEL PIETROWICZ SVP, PLANNING & PROG DEV/CSO 55.0 0.0 X 799994 0 63588 KATHLEEN A KAMINSKY MS RN SVP, PATIENT SVCS/CNO 55.0 0.0 X 744530 0 57463 MATTHEW AMODEO EVP, LEGAL AFFAIRS/CLO 55.0 0.0 X 773406 0 8035 VICKI LYN HOFFMAN VP, OPERATIONS 55.0 0.0 X 519335 0 30871 MARCELLO GUARNERI VP, FINANCE 55.0 0.0 X 505656 0 37921 PETER SYMINGTON MD TRUSTEE 1.0 56.0 X 0 313762 16824 MARK SHAPIRO MD TRUSTEE (TERM 01/01/24) 3.0 55.0 X 0 250000 0 RICHARD LERNER CHAIRMAN - TRUSTEE 3.0 4.0 X X 0 0 0 STEVEN E SIESSER ESQ VICE CHAIRMAN - TRUSTEE 3.0 3.0 X X 0 0 0 LEON REDENSKY treasurer - TRUSTEE 3.0 3.0 X X 0 0 0 JONATHAN ABAD TRUSTEE 1.0 1.0 X 0 0 0 DAVID ABRAMSON MD TRUSTEE 5.0 1.0 X 0 0 0 KALPANA BAINS TRUSTEE 1.0 1.0 X 0 0 0 LOLA BROWN PHD TRUSTEE 1.0 1.0 X 0 0 0 IRA COHEN TRUSTEE 3.0 3.0 X 0 0 0 MICHAEL GUTTER TRUSTEE 1.0 2.0 X 0 0 0 RICHARD HAN TRUSTEE 1.0 1.0 X 0 0 0 CLARICE MAY JACOBSON TRUSTEE 1.0 1.0 X 0 0 0 ASHWIN JATHAVEDAM MD TRUSTEE 1.0 1.0 X 0 0 0 JONATHAN LEFCOURT TRUSTEE 1.0 1.0 X 0 0 0 GREGG LOBEL MD TRUSTEE 1.0 1.0 X 0 0 0 ROBERT F MANGANO TRUSTEE 3.0 1.0 X 0 0 0 ARI NAIM TRUSTEE 1.0 1.0 X 0 0 0 THOMAS C SENTER ESQ TRUSTEE 3.0 4.0 X 0 0 0 LISA SEPULVEDA TRUSTEE 1.0 1.0 X 0 0 0 BARINE TEE TRUSTEE 1.0 1.0 X 0 0 0 ANA BURGA MD TRT-MD STF PRES(TERM 01/01/24) 1.0 3.0 X 0 0 0 IN JIN CHOI TRUSTEE (TERM 01/01/24) 1.0 1.0 X 0 0 0 SUN CHONG KIM TRUSTEE (TERM 01/01/24) 3.0 1.0 X 0 0 0 STEVEN RUDNITSKY TRUSTEE (TERM 01/01/24) 3.0 1.0 X 0 0 0 8785741 563762 692620 786 false true false QUEST DIAGNOSTICS INC PO BOX 740709 ATLANTA GA 30374 LABORATORY 21550596 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 532880314 IT 8619311 CROTHALL HEALTHCARE INC 1500 LIBERTY RIDGE DRIVE SUITE 210 WAYNE PA 19087 ENVIRONMENTAL 7621503 WM H YEOMANS INC 143 ROSELAND AVENUE CALDWELL NJ 07006 CONSTRUCTION 6125566 TEAM HEALTH ANESTHESIA PO BOX 634850 CINCINNATI OH 45263 medical 4253175 130 4375472 1686041 6061513 NET PATIENT SERVICE REVENUE 622110 1166455291 1166455291 OTHER HEALTHCARE RELATED REVENUE 622110 12123182 12123182 RENTAL INCOME FROM AFFILIATES 531190 329800 329800 1178908273 4891277 0 4891277 0 0 774942 774942 0 774942 774942 508586 508586 508586 508586 0 0 0 0 0 0 0 0 0 CAFETERIA/VENDING SALES 722210 2827283 2827283 2827283 1193971874 1178908273 0 9002088 X 0 0 0 0 5822856 5822856 0 222134611 175766764 46367847 4384848 3380940 1003908 30486811 23506877 6979934 18068289 13931567 4136722 0 1455648 219877 1235771 369127 369127 4589 4589 0 0 432275120 415793095 16482025 0 3731307 3373163 358144 3244512 1583717 1660795 21042887 17494947 3547940 0 36806887 10679445 26127442 651268 486116 165152 0 204581 164276 40305 6321421 6321421 0 52284776 40141504 12143272 8324182 4446415 3877767 MEDICAL SUPPLIES 148710617 148677395 33222 PHARMACEUTICALS/DRUGS 100317532 100236612 80920 CONTRACTED SERVICES 56536335 39813283 16723052 FOOD/DIETARY 3171479 3171479 5620052 2449648 3170404 1161969735 1011638541 150331194 0 5010 5010 0 0 0 0 92860639 101971121 0 0 0 0 2371043 2371043 26457397 29755295 5846843 10618819 1000318851 654775701 351271524 345543150 0 0 0 0 251960825 274732702 0 0 170890450 168753139 901663731 933750279 105804292 122084027 0 0 145894 233882 0 0 0 0 0 0 176821950 149182608 0 0 162888658 162909141 445660794 434409658 X 357470282 391000368 98532655 108340253 456002937 499340621 901663731 933750279 X 32002139 853200 10482345 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4589 4589 false 0 SCHEDULE C, PART II-B; LINES 1G & 1I Englewood hospital IS A MEMBER OF fair share hospitals collaborative ("FSHC"), the commerce and industry association of New Jersey ("CIANJ") AND THE NEW JERSEY BUSINESS & INDUSTRY ASSOCIATION ("NJBIA") WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $4,589 DURING 2024. 180588 180588 121145942 59910183 61335759 867324214 593210489 274113725 11568107 1655029 9913078 345543150 CASH & CASH EQUIVALENTS 60213512 F GOVT & FIXED INCOME SECURITIES 61892970 F ACCRUED INTEREST 292049 F MORTGAGE RESERVE FUND 16344489 F PROCEEDS UNDER LEASE AGREEMENT 16050887 F OTHER INVESTMENTS 11598543 F INVESTMENTS IN EHF NET ASSETS 108340252 F 274732702 DUE FROM AFFILIATES 12093066 OTHER RECEIVABLES 17082866 RIGHT OF USE ASSETS 128686584 OTHER ASSETS 10890623 168753139 0 DUE TO THIRD PARTY PAYORS 46925769 ACCRUED PENS & POST-RET HLTH LIAB 574164 ESTIMATED MALPRACTICE CLAIMS 3556784 LEASE LIABILITY 99126230 DUE TO AFFILIATES 417786 OTHER LIABILITIES 12308408 162909141 X SCHEDULE D, PART X, LINE 2 THE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTH AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF ENGLEWOOD HOSPITAL AND SUBSIDIARIES FOR THE YEARS ENDED DECEMBER 31, 2024 AND DECEMBER 31, 2023; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE SYSTEM'S 2024 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2024 AND 2023. true true X true X true X 900. true true true false false 30308848 1156323 29152525 0.02510 196775603 124767409 72008194 0.06200 227084451 125923732 101160719 0.08710 1245566 1245566 0.00110 18603638 295796 18307842 0.01580 327236894 173974739 153262155 0.13190 627875 100317 527558 0.00050 412500 412500 0.00040 348126473 174370852 173755621 0.14970 575210924 300294584 274916340 0.23680 true 25373166 3970901 155294788 259327189 -104032401 X true true 1 1 ENGLEWOOD HOSPITAL AND MEDICAL CENTER 350 ENGLE STREET ENGLEWOOD NJ 07631 WWW.ENGLEWOODHEALTH.ORG 10202 X X X X X ENGLEWOOD HOSPITAL AND MEDICAL CENTER 1 false false true X X X X X X X X X 22 true true true true X WWW.ENGLEWOODHEALTH.ORG X www.healthybergen.org X true 22 true WWW.ENGLEWOODHEALTH.ORG false true X 200. 900. X X X X X true true X X X true X WWW.ENGLEWOODHEALTH.ORG X WWW.ENGLEWOODHEALTH.ORG X WWW.ENGLEWOODHEALTH.ORG X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, QUESTION 5 While conducting its most recent community health needs assessment ("chna") englewood hospital and medical center ("englewood hospital") took into account input from persons who represent the broad interest of the community served by the hospital facility. This CHNA is a systematic, data-driven approach to determining the health status, behaviors, and needs of residents in the service area of Englewood Hospital. Subsequently, this information may be used to inform decisions and guide efforts to improve community health and wellness. A CHNA provides information so that communities may identify issues of greatest concern and decide to commit resources to those areas, thereby making the greatest possible impact on community health status. This assessment for ENGLEWOOD HOSPITAL is part of a regional project conducted by Professional Research Consultants, Inc. (PRC) for the Community Health Improvement Partnership (CHIP) of Bergen County ("the Partnership"). PRC is a nationally recognized health care consulting firm with extensive experience conducting Community Health Needs Assessments in hundreds of communities across the United States since 1994. Methodology - this assessment incorporates data from multiple sources, including primary research (through the PRC Community Health Survey and PRC Online Key Informant Survey), AND QUALITATIVE RESEARCH INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS, AS WELL AS A REVIEW OF SECONDARY DATA INCLUDING VITAL STATISTICS AND OTHER EXISTING HEALTH INDICATORS. Online Key Informant Survey --------------------------- To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey also was implemented as part of this process. A list of recommended participants was provided by the Community Health Improvement Partnership of Bergen County; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. Local stakeholders were asked to provide input about communities in Bergen County; the input also included stakeholders who work more regionally or statewide. In all, 146 community stakeholders in Bergen County took part in the Online Key Informant Survey, as outlined below: - 17 Physicians - 15 Public Health Representatives - 39 Other Health Providers - 26 Social Services Providers - 49 Other Community Leaders Final participation included representatives of the organizations outlined below: - Academic Medical Practice - Age-Friendly Englewood - Age-Friendly Teaneck - ALL Thingz AP - Annie Clyde Holt Food Pantry - Asian Women's Christian Association - Balance and Thrive Counseling Center - BC Special Services School District - Becton Dickinson/private practice/CHIP - Behavioral Health - Bergen Community College - Bergen County - Bergen County Commissioner - Bergen County Department of Health Services - Bergen County Department of Health Services-Drug Prevention Alliance - Bergen County Division of Senior Services - Bergen Family Center - Bergen Family Center, Southeast Senior Center for Independent Living - Bergen New Bridge Medical Center - Bergen Volunteer Medical Initiative - Bergen's Promise - Borough of Westwood - Boys & Girls Club - Carlstadt Health Department - Center for Food Action - Christian Health - Church of the Tabernacle North Bergen - Community Chest - Community Health - Community Outreach - Comprehensive Behavioral Health Care - Digital Voice Network - Dwight Morrow HS - Eastwick College - Ebeneezer Church - Embody Wellness - Englewood Health - Englewood Health Department - EZ Ride-Bike & Pedestrian - Family Promise of Ridgewood - Family Success Center - Food Pantry-Fairlawn - Franklin Lakes Recreation - Fusion Muslim Community Center of NJ - Galilee Church - Garfield Public School - Generations Counseling & Care Management - Greater Bergen Community Action - Hackensack Meridian - Hackensack Meridian Health-Pascack Valley Medical Center - Hackensack Public Schools - HealthBarn USA - Holy Name Medical Center - Holy Name Cancer Community - Holy Name Fitness - Jewish Family and Children's Services - Korean American Senior Citizens Association of NJ - Korean Community Center - K-Radio, Esther Ha Foundation - LPM Strategies, LLC - Maywood Health Department/Wellness - Meadowlands Area YMCA - Meals on Wheels Northern Jersey - Metro Community Center/Church - Midland Park Senior Center and Age Friendly Ridgewood - Mount Bethel Church - NAACP, Bergen County Chapter - New Jersey Buddies - Office of Concern Food Pantry - Pascack Medical Group - Pascack Valley Medical Center - Pascack Valley Medical Group - Pediatric Emergency Department - Physicians' Practice Enhancement - Pilgrim Church - Presbyterian Church of Teaneck - Renfrew Center for Eating Disorders - Ridgecrest Apartments - Ridgewood Public Schools - Russell Berrie Foundation - Saddle Brook Public Schools - ShopRite - Sodexo - Teaneck Health Department - Teaneck Recreation Department - Teaneck Recreation Center - The Center for Alcohol and Drug Resources - Township of Teaneck - Valley Home Care - Valley Hospital - Vantage Health System - West Bergen Mental Healthcare - Westwood for All Ages - WFM Project & Construction - Young Men's Christian Association Northern New Jersey Focus Groups & Key Informant Interviews --------------------------------------- To complement the survey and other findings, multiple focus groups were held throughout the county among those representing the following populations: - African American Community Leaders - Elder Care Providers - EMT/First Responders - Health Officers from Bergen County Communities - Korean Language Speakers - LGBTQ+ Community Members - Mental Health and Substance Use Providers - Latinx Community Leaders - Youth Service Providers In addition, a series of one-on-one interviews was also conducted with a variety of key informants. These focus groups and interviews were conducted by 35th Street Consulting, LLC. SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B ENGLEWOOD HOSPITAL'S CHNA WAS COMPLETED IN COLLABORATION WITH THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP ("CHIP") OF BERGEN COUNTY, WHICH INCLUDED BERGEN NEW BRIDGE MEDICAL CENTER, CHRISTIAN HEALTH - RAMAPO RIDGE PSYCHIATRIC HOSPITAL, ENGLEWOOD HOSPITAL, HACKENSACK MERIDIAN HEALTH HACKENSACK UNIVERSITY MEDICAL CENTER, HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL CENTER, HOLY NAME MEDICAL CENTER, AND THE VALLEY HOSPITAL. REPRESENTATIVES FROM THESE SEVEN HOSPITALS, ALONG WITH REPRESENTATIVES OF THE BERGEN COUNTY DEPARTMENT OF HEALTH SERVICES ("BCDHS") AND THE CHIP OF BERGEN COUNTY, WORKED COLLABORATIVELY TO PLAN AND EXECUTE THE CHNA. THE STEERING COMMITTEE HIRED PROFESSIONAL RESEARCH CONSULTANTS, INC. ("PRC"), A PUBLIC HEALTH RESEARCH AND CONSULTING FIRM, TO SUPPORT THEIR EFFORTS AND COMPLETE THE CHNA. SCHEDULE H, PART V, SECTION B, QUESTIONS 7A & 7B THE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: https://www.englewoodhealth.org/about-us/health-equity-efforts/community-h ealth-needs-assessment ADDITIONALLY, THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP OF BERGEN COUNTY'S CHNA, WHICH INCLUDES THIS ORGANIZATION, IS MADE WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.HEALTHYBERGEN.ORG SCHEDULE H, PART V, SECTION B, QUESTION 10A DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 10A, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S IMPLEMENTATION STRATEGY IS MADE WIDELY AVAILABLE AND CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED WITHIN THE SYSTEM'S WEBSITE: https://www.englewoodhealth.org/about-us/health-equity-efforts/community-h ealth-needs-assessment SCHEDULE H, PART V, SECTION B, QUESTION 11 The organization is committed to improving the health status and well-being of all residents living in their service area. Certainly all geographic, demographic, and socioeconomic segments of the population face challenges that may impede their ability to access care or maintain good health. Regardless of age, race/ethnicity, income, family history, or other characteristics, everyone is impacted in some way by health-related disparities. With this in mind, englewood's implementation strategy includes activities that will support all residents, across all segments of the population. However, based on the assessment's quantitative and qualitative findings, the implementation strategy will prioritize certain demographic and socio-economic segments of the population. The organization's implementation strategy was approved by the Englewood Health board of trustees on February 23, 2023. The implementation strategy is the result of bergen county's chna, conducted in 2022. The assessment incorporates data from multiple sources, including primary research and qualitative research including focus groups, key informant interviews, as well as a review of secondary data including vital statistics and other existing health indicators. Based on the results from its chna, englewood has prioritized the significant needs identified into the following priority areas: 1) Healthy Minds - mental health, substance abuse, and stress. 2) Healthy Bodies - chronic disease prevention and awareness. 3) Building Bridges - communication, connection, outreach, and access. Englewood health is committed to achieving improved health through better quality care at lower costs. To address the needs of its community, englewood health is allocating significant resources to achieve the goals set forth in its implementation strategy. Englewood health's population health department, which includes both clinical and community support services, will lead this effort. Englewood health is dedicated to being the healthcare leader for our community. The below describes the organization's priority areas, goals, objective/strategies and sample process/outcome measurements as defined within its implementation strategy: Healthy Minds ------------- Goal: increase access to mental and behavioral health supports at the appropriate level of care for all people. Objectives: 1) expand access to behavioral health information, services, education, resources, and screenings with an emphasis on vulnerable and priority populations (multiple languages) 2) expand behavioral health partnerships with outside organizations to further meet patient and community needs 3) continue to promote efforts to reduce BH stigma 4) recruit, retain and promote diverse behavioral health staff Strategies: - expand screening opportunities for patients and community and increase connection to resources - expand emotional wellness awareness education and programs including skill building and healthy habits - provide behavioral health and disease specific emotional wellness groups for patients/community and their families - collaborate with local and regional partners to provide education, information and connection to resources for behavioral health issues - continue to support education and resources that address substance misuse among patients and the community at large - continue to provide staff training and development on hiring with a focus on culture and diversity Healthy Bodies -------------- Goal: increase availability, coordination, and connection to healthy living services and resources for all people. Objectives: 1) provide education and interventions regarding wellness, health promotion, prevention efforts, risk factors, and healthy behaviors 2) provide programs that promote education and awareness of chronic and complex conditions 3) expand care delivery to increase access to care for diverse and vulnerable populations 4) support public health departments in local prevention and emergency initiatives Strategies: - increase participation in best practices food and healthy living programs among diverse and vulnerable populations - implement programs and events with local and regional collaboratives that address issues related to wellness, prevention, and risk factors - expand programs and policies that screen for and address SDOH (with a focus on nutrition and food security) - conduct screenings for chronic disease risk factors (e.g. cancer, high blood pressure, cholesterol, BMI) and provide referrals to appropriate treatment or services - provide linkage to care, with increased access to providers and navigation within physician network - continue to expand partnerships with external organizations to enhance care delivery to populations currently experiencing gaps in care Building Bridges ---------------- Goal: increase equitable access to the resources needed to prevent, screen and treat disease Objectives: 1) expand resources, tools and navigation services that remove barriers to care (language, age/transportation) 2) implement local and regional efforts to address social determinants of health and access to care issues 3) enhance Englewood Hospital competency / health equity commitment to patients and community and increase communication on this topic Strategies: - promote better awareness of health care access opportunities, affordable transportation options and execute communication in a culturally informed approach - increase screening for Social Determinants of Health - Facilitate ease of referral access and increase connections between partner agencies - make appropriate referrals to community-based resources - continue to expand opportunities for collaborative action with diverse community partners - strengthen cultural competency training for team members and physicians SCHEDULE H, PART V, SECTION B, QUESTION 13A DUE TO CHARACTER LIMITATIONS, THE PERCENTAGE REFLECTED IN SCHEDULE H, PART V, SECTION B, QUESTION 13, FOR THE ORGANIZATION'S FEDERAL POVERTY GUIDELINE ("FPG") FAMILY INCOME LIMIT TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE IS 900%. HOWEVER, THIS ORGANIZATION OFFERS DISCOUNTED CARE TO ALL UNINSURED PATIENTS FOR EMERGENCY AND MEDICALLY NECESSARY CARE REGARDLESS OF INCOME. SCHEDULE H, PART V, SECTION B, QUESTION 16 DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 16, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. THESE DOCUMENTS CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: https://www.englewoodhealth.org/patients-and-visitors/billing-and-insuranc e/financial-assistance-and-billing-policies SCHEDULE H, PART I, LINE 3B DUE TO CHARACTER LIMITATIONS, THE PERCENTAGE REFLECTED IN SCHEDULE H, PART I, LINE 3B, FOR THE ORGANIZATION'S FEDERAL POVERTY GUIDELINE ("FPG") FAMILY INCOME LIMIT TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE IS 900%. HOWEVER, THIS ORGANIZATION OFFERS DISCOUNTED CARE TO ALL UNINSURED PATIENTS FOR EMERGENCY AND MEDICALLY NECESSARY CARE REGARDLESS OF INCOME. SCHEDULE H, PART I, LINE 3C IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, ENGLEWOOD HOSPITAL USES OTHER FACTORS IN DETERMINING ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTED CARE. OTHER FACTORS TO DETERMINE ELIGIBILITY INCLUDE: - ASSET LEVEL; - MEDICAL INDIGENCY; - INSURANCE STATUS; - UNDERINSURANCE STATUS; AND - RESIDENCY. ADDITIONAL INFORMATION WITH RESPECT TO ENGLEWOOD HOSPITAL'S ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IS OUTLINED BELOW. NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM ("CHARITY CARE") ==================================================================== CHARITY CARE IS A NEW JERSEY PROGRAM IN WHICH FREE OR DISCOUNTED CARE IS AVAILABLE TO PATIENTS WHO RECEIVE INPATIENT AND OUTPATIENT SERVICES AT ACUTE CARE HOSPITALS THROUGHOUT THE STATE OF NEW JERSEY. HOSPITAL ASSISTANCE AND REDUCED CHARGE CARE ARE ONLY AVAILABLE FOR NECESSARY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. PATIENTS MAY BE ELIGIBLE FOR CHARITY CARE IF THEY ARE NEW JERSEY RESIDENTS WHO: 1) HAVE NO HEALTH COVERAGE OR HAVE COVERAGE THAT PAYS ONLY PART OF THE HOSPITAL BILL (UNINSURED OR UNDERINSURED); 2) ARE INELIGIBLE FOR ANY PRIVATE OR GOVERNMENTAL SPONSORED COVERAGE (SUCH AS MEDICAID); AND 3) MEET THE FOLLOWING INCOME AND ASSET ELIGIBILITY CRITERIA DESCRIBED BELOW. INCOME ELIGIBILITY CRITERIA --------------------------- PATIENTS WITH FAMILY GROSS INCOME LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR 100% CHARITY CARE COVERAGE. PATIENTS WITH FAMILY GROSS INCOME GREATER THAN 200% BUT LESS THAN OR EQUAL TO 300% OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR DISCOUNTED CARE. ASSET CRITERIA -------------- CHARITY CARE INCLUDES ASSET ELIGIBILITY THRESHOLDS WHICH STATES THAT INDIVIDUAL ASSETS CANNOT EXCEED $7,500 AND FAMILY ASSETS CANNOT EXCEED $15,000 AS OF THE DATE OF SERVICE. RESIDENCY CRITERIA ------------------ CHARITY CARE MAY BE AVAILABLE TO NON-NEW JERSEY RESIDENTS, REQUIRING IMMEDIATE MEDICAL ATTENTION FOR AN EMERGENCY MEDICAL CONDITION. ADDITIONALLY, PLEASE NOTE THAT THIS ORGANIZATION OFFERS DISCOUNTED CARE TO ALL UNINSURED PATIENTS FOR EMERGENCY AND MEDICALLY NECESSARY CARE REGARDLESS OF INCOME. SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE. SCHEDULE H, PART I; QUESTION 7 THE ORGANIZATION'S COST TO CHARGE RATIO REFLECTS TOTAL OPERATING COSTS, EXCLUDING BAD DEBT AND OTHER OPERATING REVENUE, TO GROSS CHARGES. THE HOSPITAL UTILIZED WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS TO DERIVE ITS COST-TO-CHARGE RATIO. SCHEDULE H, PART I; QUESTION 7b ENGLEWOOD HOSPITAL PARTNERED WITH BERGEN COUNTY AND THE STATE OF NEW JERSEY THROUGH A PROVIDER ASSESSMENT MECHANISM TO MAKE THE STATE OF NEW JERSEY MEDICAID PROGRAM HEALTHIER FOR ALL. THE PROGRAM INCREASES FINANCIAL RESOURCES PROVIDED TO CERTAIN HOSPITALS USING THE STATE OF NEW JERSEY'S MEDICAID PROGRAM AND CERTAIN FEDERAL MATCHING FUNDS IN ORDER TO BETTER SERVE THE NEEDS IN THE COMMUNITY. THE ADDITIONAL FUNDS RECEIVED FROM THE PROGRAM DURING 2024 TOTALED APPROXIMATELY $24.6M AND ARE INCLUDED IN SCHEDULE H, PART I; LINE 7B; DIRECT OFFSETTING MEDICAID REVENUE. THE ASSOCIATED COUNTY OPTION EXPENSES ASSOCIATED WITH THE PROGRAM DURING 2024 TOTALED APPROXIMATELY $18.0M AND ARE INCLUDED IN SCHEDULE H, PART I; LINE 7B; MEDICAID TOTAL COMMUNITY BENEFIT EXPENSE. IN ADDITION, ENGLEWOOD HOSPITAL RECEIVED Medicaid Add-on payments and QUALITY IMPROVEMENT PROGRAM - NEW JERSEY ("QIP-NJ") FUNDING TO SUPPORT CONTINUED POPULATION HEALTH IMPROVEMENT ACROSS NEW JERSEY. THE ADDITIONAL FUNDS RECEIVED FROM Medicaid Add-on payments and QIP-NJ PROGRAM DURING 2024 TOTALED APPROXIMATELY $4.9M AND ARE INCLUDED IN SCHEDULE H, PART I; LINE 7B; DIRECT OFFSETTING MEDICAID REVENUE. IF ENGLEWOOD HOSPITAL DID NOT RECEIVE THESE ADDITIONAL FUNDS, THE NET COMMUNITY BENEFIT EXPENSE REPORTED ON SCHEDULE H, PART I; LINE 7K WOULD BE $286,349,473 AND THE NET COMMUNITY BENEFIT PERCENTAGE REPORTED ON SCHEDULE H, PART I; LINE K WOULD BE 24.64%. SCHEDULE H, PART II NOT APPLICABLE. SCHEDULE H, PART III, QUESTIONS 2 & 3 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM ITS FINANCIAL STATEMENT, WHICH IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH COVERAGE AND OTHER COLLECTION INDICATORS. ADDITIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS; DEDUCTIONS FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE. THE ESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, REFLECTED ON SCHEDULE H, PART III, LINE 3, IS APPROXIMATELY 13.89% OF THE TOTAL BAD DEBT EXPENSE. THIS PERCENTAGE REPRESENTS THE PORTION OF SELF-PAY INDIVIDUALS INCLUDED WITHIN THE BAD DEBT EXPENSE AMOUNT. HAD THESE INDIVIDUALS COMPLETED THE REQUIREMENTS NECESSARY TO APPLY FOR FINANCIAL ASSISTANCE, THEY WOULD HAVE LIKELY BEEN ELIGIBLE. THE ORGANIZATION'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND FINANCIAL ASSISTANCE POLICIES ARE CONSISTENTLY APPLIED. SCHEDULE H, PART III, QUESTION 4 ENGLEWOOD HOSPITAL AND ITS SUBSIDIARIES PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE TEXT BELOW WAS OBTAINED FROM THE ENGLEWOOD HOSPITAL AND SUBSIDIARIES AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOOTNOTES: PATIENT ACCOUNTS RECEIVABLE --------------------------- Accounts receivable are recorded at net realizable value at the transaction price based on standard charges for services provided, reduced by contractual adjustments provided to third-party payors, discounts provided to uninsured or underinsured patients in accordance with the Hospital's policies, and/or implicit price concessions provided to uninsured or underinsured patients, and do not bear interest. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient revenue in the period of the change. THE HOSPITAL ASSESSES COLLECTABILITY ON PATIENT CONTRACTS PRIOR TO THE RECOGNITION OF NET PATIENT SERVICE REVENUES. PATIENT ACCOUNTS RECEIVABLE IS RECORDED AT ITS NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF THROUGH THE PROVISION FOR CREDIT LOSS WHEN THE HOSPITAL HAS EXHAUSTED ALL COLLECTION EFFORTS AND DETERMINES ACCOUNTS ARE IMPAIRED BASED ON CHANGES IN PATIENT CREDIT WORTHINESS. REVENUE RECOGNITION ------------------- Net patient service revenue is recognized at the amount that reflects the consideration to which the Hospital expects to be entitled in exchange for providing patient care. These amounts are due from patients, third-party payors (including commercial and governmental programs) and others and includes variable consideration for retroactive revenue adjustments due to settlement of audits, reviews and investigations. Generally, the Hospital bills the patients and third-party payors several days after the services are performed and/or the patient is discharged from the facility. Revenue is recognized as performance obligations are satisfied. Performance obligations are determined based on the nature of the services provided by the Hospital. Revenue for performance obligations satisfied over time is recognized based on actual services incurred in relation to total expected (or actual) payments. The Hospital believes that this method provides a faithful depiction of the transfer of services over the term of the performance obligation based on the inputs needed to satisfy the obligation. Generally, performance obligations satisfied over time relate to patients in the Hospital receiving inpatient acute care services. The Hospital measures the performance obligation from admission into the facility to the point when it is no longer required to provide services to that patient, which is generally at the time of discharge. Revenue for performance obligations satisfied at a point in time are recognized when services are provided and the Hospital does not believe it is required to provide additional services to the patient. Generally, because all the Hospital's performance obligations relate to contracts with a duration of less than one year, the Hospital has elected to apply the optional exemption provided in Accounting Standard Codification (ASC) 606-10-50-14(a) and, therefore, the Hospital is not required to disclose the aggregate amount of the transaction price allocated to performance obligations that are unsatisfied or partially unsatisfied at the end of the reporting period. The unsatisfied or partially unsatisfied performance obligations referred to above are primarily related to inpatient acute care services at the end of the reporting period. The performance obligations for these contracts are generally completed when the patients are discharged, which generally occurs within days or weeks of the end of the reporting period. The Hospital determines the transaction price based on standard charges for services provided, reduced by contractual adjustments provided to third-party payors, discounts provided to uninsured patients in accordance with the Hospital's policy, and /or implicit price concessions provided to uninsured patients. The Hospital determines its estimates of contractual adjustments and discounts based on contractual agreements, its discount policies and historical experience. The Hospital determines its estimate of implicit price concessions based on its historical collection experience with this class of patients. NET PATIENT SERVICE REVENUE --------------------------- THE HOSPITAL HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE HOSPITAL AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTS FROM CHARGES AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS DUE FROM PATIENTS, THIRD-PARTY PAYORS AND OTHERS FOR SERVICES RENDERED AND INCLUDES ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS DUE TO ONGOING AND FUTURE AUDITS, REVIEWS AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THAT RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS AND INVESTIGATIONS. CHARITY CARE AND COMMUNITY BENEFIT ---------------------------------- IN ACCORDANCE WITH ITS MISSION AND PHILOSOPHY, THE HOSPITAL COMMITS SUBSTANTIAL RESOURCES TO SPONSOR A BROAD RANGE OF SERVICES TO BOTH THE INDIGENT AS WELL AS THE BROADER COMMUNITY. COMMUNITY BENEFITS PROVIDED TO THE INDIGENT INCLUDE THE COST OF PROVIDING SERVICES TO PERSONS WHO CANNOT AFFORD HEALTH CARE DUE TO INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. THIS TYPE OF COMMUNITY BENEFIT INCLUDES THE COSTS OF: TRADITIONAL CHARITY CARE; UNPAID COSTS OF CARE PROVIDED TO BENEFICIARIES OF MEDICARE AND MEDICAID AND OTHER INDIGENT PUBLIC PROGRAMS. CHARITY CARE IS PROVIDED BY THE HOSPITAL TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH ("DOH") WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THE HOSPITAL REDUCES NET REVENUES IN ACCORDANCE WITH THESE CRITERIA. THE HOSPITAL'S RECORDS IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. COMMUNITY BENEFITS PROVIDED TO THE BROADER COMMUNITY INCLUDE THE COSTS OF PROVIDING SERVICES TO OTHER POPULATIONS WHO MAY NOT QUALIFY AS INDIGENT BUT MAY NEED SPECIAL SERVICES AND SUPPORT. THIS TYPE OF COMMUNITY BENEFIT INCLUDES THE COSTS OF: SERVICES SUCH AS HEALTH PROMOTION AND EDUCATION, HEALTH SCREENINGS, ALL OF WHICH ARE NOT BILLED OR CAN BE OPERATED ONLY ON A DEFICIT BASIS; UNPAID PORTIONS OF TRAINING HEALTH PROFESSIONALS SUCH AS MEDICAL RESIDENTS, STUDENTS IN ALLIED HEALTH PROFESSIONS; AND THE UNPAID PORTIONS OF TESTING MEDICAL EQUIPMENT AND CONTROLLED STUDIES OF THERAPEUTIC PROTOCOLS. The costs of charity care and other community benefit activities are derived from both estimated and actual data. The estimated cost of charity care includes the direct and indirect cost of providing such services and is estimated utilizing the Hospital's ratio of cost to gross charges, which is then multiplied by the gross uncompensated charges associated with providing care to charity patients. THE HOSPITAL RECEIVES PAYMENTS FROM THE NEW JERSEY HEALTH CARE SUBSIDY FUNDS FOR CHARITY CARE AND SUCH AMOUNTS TOTALED APPROXIMATELY $1,200,000 AND $2,000,000 FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023, RESPECTIVELY. OTHER THIRD-PARTY PAYORS ------------------------ THE HOSPITAL ALSO HAS ENTERED INTO PAYMENT AGREEMENTS WITH CERTAIN COMMERCIAL INSURANCE CARRIERS AND HEALTH MAINTENANCE ORGANIZATIONS. THE BASIS FOR PAYMENT TO THE HOSPITAL UNDER THESE AGREEMENTS INCLUDES PROSPECTIVELY DETERMINED RATES PER DISCHARGE OR DAYS OF HOSPITALIZATION AND DISCOUNTS FROM ESTABLISHED CHARGES. SOME OF THESE AGREEMENTS HAVE RETROSPECTIVE AUDIT CLAUSES, ALLOWING THE PAYOR TO REVIEW AND ADJUST CLAIMS SUBSEQUENT TO INITIAL PAYMENT. THE HOSPITAL RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF THESE ESTABLISHED RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES REVENUES ON THE BASIS OF ITS STANDARD RATES, DISCOUNTED IN ACCORDANCE WITH THE HOSPITAL'S POLICY. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION OF BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. For the years ended December 31, 2024 and 2023, net patient service revenue was increased by approximately $8,194,000 and $8,205,000, respectively, for favorable adjustments and settlements related to prior years. SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2024 MEDICARE COST REPORT. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL), BAD DEBT AND ASSOCIATED COSTS ARE COMMUNITY BENEFIT AND ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW, THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "THE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL MUST PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS WHO CANNOT PAY FOR SUCH SERVICES. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVED" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY THE DEPARTMENT OF TREASURY REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA'S POSITION. AS OUTLINED IN THE AHA'S LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. FROM THE LATEST DATA PROVIDED BY THE AHA, MEDICARE REIMBURSES HOSPITALS ONLY 87 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 42 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLE." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR THOSE WHO DO NOT PAY ALL, OR A PORTION OF THE ALREADY DISCOUNTED BILLED AMOUNTS UNDER OUR FINANCIAL ASSISTANCE POLICY. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFIT" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITAL'S BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS SHOULDER IN SERVING ALL PATIENTS RE SCHEDULE H, PART III, SECTION B; QUESTION 9B IT IS THE POLICY OF ENGLEWOOD HOSPITAL TO TREAT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY FOR ALL EMERGENCY AND MEDICALLY NECESSARY HEALTHCARE SERVICES AND TO BILL AND COLLECT ACCOUNTS RECEIVABLE IN ACCORDANCE WITH ALL FEDERAL AND STATE BILLING AND COLLECTION REGULATIONS. ADDITIONALLY, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(6), THE ORGANIZATION'S BILLING AND COLLECTION POLICY DOES CONTAIN PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE AS FURTHER OUTLINED BELOW. INCLUDED BELOW ARE THE PROCEDURES OUTLINED WITHIN THAT POLICY: 1) THE BILLS FOR ALL INSURED PATIENTS WILL BE SENT DIRECTLY FROM ENGLEWOOD HOSPITAL TO THE PATIENT'S INSURANCE COMPANY. IF THE INSURANCE COMPANY DENIES THE CLAIM FOR REASONS SUCH AS: BENEFITS EXHAUSTED, EXPERIMENTAL, MEDICAL NECESSITY, PRE-EXISTING CONDITION, NON-COVERED CHARGES, ETC. THE PATIENT WILL BE BILLED AT THE UNINSURED RATE OF PERCENTAGE OF GROSS CHARGES AS OUTLINED IN THE FINANCIAL ASSISTANCE POLICY. 2) IF A PATIENT'S INSURANCE PAYS THE CLAIM AND THERE IS A DEDUCTIBLE, CO-PAY, OR CO-INSURANCE AMOUNT DUE FROM THE PATIENT, THE HOSPITAL WILL BILL THE PATIENT THE AMOUNT INDICATED AS PATIENT RESPONSIBILITY BY THE INSURANCE COMPANY. 3) BILLS FOR UNINSURED PATIENTS ARE REDUCED TO A PERCENTAGE OF GROSS CHARGES AS DESCRIBED IN THE FINANCIAL ASSISTANCE POLICY. 4) PATIENTS WILL RECEIVE BILLING STATEMENTS AND COLLECTION LETTERS FROM ENGLEWOOD HOSPITAL ON ALL BALANCES THAT ARE DEEMED PATIENT RESPONSIBILITY. THE BILLING STATEMENTS AND COLLECTION LETTERS INCLUDE INFORMATION ABOUT FINANCIAL ASSISTANCE AVAILABILITY. 5) EMPLOYEES FROM THE FINANCIAL COUNSELING DEPARTMENT WILL ATTEMPT TO CONTACT THE PATIENT BY TELEPHONE ON UNPAID BALANCES OF $5,000 OR GREATER THAT ARE DEEMED PATIENT RESPONSIBILITY. THEY WILL EXPLAIN THE AVAILABILITY OF FINANCIAL ASSISTANCE WHEN SPEAKING WITH THE PATIENT. ALL CALLS ARE DOCUMENTED WITHIN THE FINANCIAL SYSTEM 6) IN ADDITION TO FINANCIAL ASSISTANCE, PAYMENT PLANS WILL BE OFFERED TO PATIENTS. PATIENTS CAN MAKE MONTHLY PAYMENTS ON OUTSTANDING BALANCES. PAYMENT PLANS WILL BE APPROVED FOR A PERIOD OF ONE YEAR. PAYMENT PLANS BEYOND ONE YEAR MUST BE APPROVED BY THE FINANCIAL COUNSELING MANAGER. 7) ALL UNPAID BALANCES THAT ARE DUE FROM PATIENTS WILL BE REFERRED TO OUTSIDE COLLECTION AGENCIES AFTER COLLECTION ATTEMPTS BY ENGLEWOOD HOSPITAL HAVE FAILED. THE COLLECTION AGENCIES WILL ATTEMPT TO OBTAIN PAYMENT FROM THE PATIENT. IF FULL PAYMENT IS NOT RECEIVED, THE COLLECTION AGENCIES WILL NOTIFY THE PATIENT BY MAIL THAT THEY MAY PROCEED WITH EXTRAORDINARY COLLECTION ACTIONS ("ECAS") AS DEFINED IN INTERNAL REVENUE CODE SECTION 501(R) WHICH CAN INCLUDE FILING OF JUDGMENTS THAT INCLUDE WAGE GARNISHMENTS, SEIZING BANK ACCOUNTS, AND PLACING LIENS ON PROPERTY OWNED IN THE STATE OF NEW JERSEY. THE COLLECTION AGENCIES MUST NOTIFY THE PATIENT IN WRITING AT LEAST 30 DAYS BEFORE INITIATING ECAS. THE COLLECTION AGENCIES WILL REFRAIN FROM ENGAGING IN ECAS UNTIL AT LEAST 120 DAYS AFTER THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT SENT BY THE HOSPITAL. 8) ALL REFERRALS TO OUTSIDE COLLECTION AGENCIES ARE APPROVED BY THE FINANCIAL COUNSELING MANAGER. 9) REFER TO THE FINANCIAL ASSISTANCE POLICY FOR THE HOSPITAL'S FINANCIAL ASSISTANCE GUIDELINES. 10) REFER TO NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM/CHARITY CARE POLICY FOR PROCEDURES ON APPLYING FOR ASSISTANCE THROUGH THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM/CHARITY CARE AT ENGLEWOOD HOSPITAL. IN ADDITION, ENGLEWOOD HOSPITAL DOES NOT ENGAGE IN ANY ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE, SUCH AS BY DEMANDING THE EMERGENCY DEPARTMENT PATIENTS PAY BEFORE RECEIVING TREATMENT FOR EMERGENCY MEDICAL CONDITIONS OR BY PERMITTING DEBT COLLECTION ACTIVITIES IN THE EMERGENCY DEPARTMENT OR OTHER AREAS WHERE SUCH ACTIVITIES COULD INTERFERE WITH THE PROVISION OF EMERGENCY CARE ON A NON-DISCRIMINATORY BASIS. THE ORGANIZATION'S BILLING AND COLLECTION POLICY IS MADE WIDELY AVAILABLE ON ITS WEBSITE: https://www.englewoodhealth.org/patients-and-visitors/billing-and-insuranc e/financial-assistance-and-billing-policies SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE CHNA PROCESS OUTLINED IN SCHEDULE H, PART V, SECTION B, QUESTIONS 1-12 AND THE NARRATIVE RESPONSE TO SCHEDULE H, PART V, SECTION B, QUESTION 5 INCLUDED IN SCHEDULE H, PART V, SECTION C, THE ORGANIZATION'S CHNA ASSESSED THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES BY INCORPORATING DATA FROM SECONDARY SOURCES (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). A VARIETY OF EXISTING SECONDARY DATA WAS OBTAINED FROM THE FOLLOWING SOURCES TO COMPLEMENT THE RESEARCH USED FOR THE ORGANIZATION'S CHNA: - CENTER FOR APPLIED RESEARCH AND ENVIRONMENTAL SYSTEMS; - CENTERS FOR DISEASE CONTROL & PREVENTION, OFFICE OF INFECTIOUS DISEASE, NATIONAL CENTER FOR HIV/AIDS, VIRAL HEPATITIS, STD, AND TB PREVENTION; - CENTERS FOR DISEASE CONTROL & PREVENTION, OFFICE OF PUBLIC HEALTH SCIENCE SERVICES, CENTER FOR SURVEILLANCE, EPIDEMIOLOGY AND LABORATORY SERVICES, DIVISION OF HEALTH INFORMATICS AND SURVEILLANCE; - CENTERS FOR DISEASE CONTROL & PREVENTION, OFFICE OF PUBLIC HEALTH SCIENCE SERVICES, NATIONAL CENTER FOR HEALTH STATISTICS; - COMMUNITY COMMONS; - ESRI ARCGIS MAP GALLERY; - NATIONAL CANCER INSTITUTE, STATE CANCER PROFILES; - OPENSTREETMAP; - TRUVEN HEALTH ANALYTICS AND DIGNITY HEALTH; - US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY; - US CENSUS BUREAU, COUNTY BUSINESS PATTERNS; - US CENSUS BUREAU, DECENNIAL CENSUS; - US DEPARTMENT OF AGRICULTURE, ECONOMIC RESEARCH SERVICE; - US DEPARTMENT OF HEALTH & HUMAN SERVICES; - US DEPARTMENT OF HEALTH & HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION; - US DEPARTMENT OF JUSTICE, FEDERAL BUREAU OF INVESTIGATION; AND - US DEPARTMENT OF LABOR, BUREAU OF LABOR STATISTICS. ENGLEWOOD HOSPITAL ALSO UTILIZES AN INDEPENDENT MARKET RESEARCH COMPANY TO SOLICIT SURVEYS AND COMMENTS FROM ALL PATIENTS OF THE MEDICAL CENTER REGARDING THEIR PATIENT CARE. THE INDEPENDENT MARKET RESEARCH COMPANY ANALYZES AND PROVIDES REPORTS ON THE ORGANIZATION'S PERFORMANCE IN A VARIETY OF AREAS AND PROCEDURES. ADDITIONALLY, THIS ORGANIZATION MONITORS ITS PERFORMANCE ON THE INTERNET WEB SITE REFERRED TO AS HEALTHGRADES, WHICH OFFERS COMPARATIVE DATA TO OTHER HOSPITALS. THE CENTERS FOR MEDICARE AND MEDICAID SERVICES RELEASE "REPORT CARDS" TO THE PUBLIC REGARDING THE HOSPITAL'S PERFORMANCE. ENGLEWOOD HOSPITAL ACQUIRES DEMOGRAPHIC DATA FOR ITS SURROUNDING COMMUNITIES AND MAKES DETERMINATIONS AS TO WHETHER THE NEEDS OF ANY OF THE GROUPS WITHIN THE COMMUNITY ARE BEING SERVED. ALL OF THESE TOOLS ARE UTILIZED BY THE HOSPITAL'S TO DETERMINE IF THE COMMUNITY IS BEING FULLY SERVED. SCHEDULE H, PART VI; QUESTION 3 ENGLEWOOD HOSPITAL INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR PATIENT CARE ABOUT ELIGIBILITY FOR FINANCIAL ASSISTANCE BY WIDELY PUBLICIZING THE AVAILABILITY OF FINANCIAL ASSISTANCE. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(4) THE AVAILABILITY OF FINANCIAL ASSISTANCE IS WIDELY PUBLICIZED IN THE FOLLOWING WAYS: IN AN EFFORT TO ENSURE THE COMMUNITY SERVED BY THE ORGANIZATION IS AWARE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE, INFORMATIVE SIGNS AND POSTERS ARE POSTED IN THE FOLLOWING HOSPITAL LOCATIONS: EMERGENCY ROOM, ADMITTING DEPARTMENT, OUTPATIENT REGISTRATION DEPARTMENT AND THE FINANCIAL COUNSELING DEPARTMENT. THESE SIGNS AND POSTERS ADVISE PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND PROVIDE ADDITIONAL INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AND MAY BE OBTAINED ON THE ORGANIZATION'S WEBSITE AT THE FOLLOWING URL: WWW.ENGLEWOODHEALTH.ORG/FOR-PATIENTS-VISITORS/BILLING-INSURANCE. THESE DOCUMENTS ARE AVAILABLE UPON REQUEST, FREE OF CHARGE IN THE PATIENT REGISTRATION AREAS AND THE FINANCIAL COUNSELING DEPARTMENT LOCATED AT 350 ENGLE STREET ENGLEWOOD, NJ 07631. PAPER COPIES MAY BE REQUESTED BY CONTACTING (201)894-3031. REPRESENTATIVES ARE AVAILABLE MONDAY THROUGH FRIDAY 9AM TO 5PM. ADDITIONALLY, THE ORGANIZATION HAS AN EMPLOYEE OF THE BERGEN COUNTY BOARD OF SOCIAL SERVICES ON-SITE AT THE HOSPITAL AT LEAST THREE DAYS PER WEEK TO ASSIST PATIENTS WITH MEDICAID APPLICATIONS, IF ELIGIBLE. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R), THESE DOCUMENTS ARE ALSO TRANSLATED AND AVAILABLE IN THE FOLLOWING LIMITED ENGLISH PROFICIENCY ("LEP") LANGUAGES: SPANISH, KOREAN, CHINESE, RUSSIAN, JAPANESE, ITALIAN, TAGALOG, ARABIC, GUJARATI, GREEK, PORTUGUESE, PORTUGUESE CREOLE, SERBIO-CROATIAN AND ARMENIAN. IT IS IMPORTANT TO NOTE THAT ANY AND ALL PATIENTS NOT ELIGIBLE FOR CHARITY CARE UNDER THE STATE OF NEW JERSEY CHARITY CARE GUIDELINES, AND WHO HAVE NO OTHER INSURANCE COVERAGE ARE CLASSIFIED AS A "SELF-PAY" PATIENT. SUCH PATIENTS' BILLS ARE AUTOMATICALLY DISCOUNTED PER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (WHICH APPROXIMATES 115% OF MEDICARE RATES). SCHEDULE H, PART VI; QUESTION 4 Englewood hospital is located in bergen county, new jersey. The hospital's primary community benefits service area includes 9 cities and towns in northern bergen county (bergenfield, cliffside park, cresskill, dumont, englewood, fort lee, palisades park, teaneck, and tenafly), and paterson in passaic county. Included below are demographic information as captured within its most recently conducted chna: Population and AGE ------------------ - The percentage of bergen county residents over the age of 65 (17.0%) was significantly high compared to new jersey overall (15.9%). The median age in bergen county (41.9) was also higher than new jersey overall (39.9). - Bergen county is almost entirely urban, with 99.9% of the population living in areas designated as urban. The urban population in Bergen county is significantly higher than new jersey (94.7%). Race & Ethnicity ---------------- - bergen county is predominantly white (71.6%), though there is a large asian population. The percentage of asian residents in bergen county (16.3%) was significantly high compared to the state overall (9.5%). - the percentage of black/african american residents in bergen county (6.0%) was significantly low compared to the state overall (13.5%). - the percentage of hispanic/latino residents in bergen county (19.9%) was similar to the state overall (20.2%). Linguistic Isolation -------------------- - a total of 7.2% of Bergen county population age 5 and older live in a home in which no person age 14 or older is proficient in English (speaking only English or speaking English very well). This is a higher percentage of linguistic isolation than the rest of the state (6.3%). Social Determinants of Health ============================= Social determinants of health (SDOH) are the conditions in the environments were people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. Poverty ------- - the latest census estimate shows 6.7% of Bergen county's total population living below the federal poverty level, which is less than the new jersey average of 10.0%. - Among children (ages 0 to 17), the percentage in Bergen County living below the federal poverty level is 7.4%, representing about 14,492 children. The new jersey average is 7.4%. Education --------- - Among the Bergen county population age 25 and older, an estimated 7.5% (over 49,000 people) do not have a high school diploma. This is less than the new jersey average of 10.2% of the population without a high school diploma. Employment ---------- - According to data derived from the US Department of Labor, the unemployment rate in Bergen County as of July 2022 was 3.5%, which is consistent with the new jersey unemployment rate. Financial Resilience -------------------- - a total of 19.7% of Bergen county residents would not be able to afford an unexpected $400 expense without going into debt. This is better than the national average. The disparity is higher in central Bergen and southeast Bergen. Housing ------- - a considerable share (34.2%) of Bergen county adults reported that they were sometimes, usually, or always worried or stressed about having to pay their rent or mortgage in the past year. - a total of 16.3% of Bergen county residents report living in unhealthy or unsafe housing conditions during the past year. This is higher than the U.S. finding of approximately 12.2%. Food Access ----------- - US Department of Agriculture data show that 10.3% of the Bergen county population (representing over 92,000 residents) have low food access, meaning that they do not live near a supermarket or large grocery store. This is significantly below the state average of 23.8% and national average of 22.2%. - Overall, 28.5% of Bergen county residents are determined to be food insecure, having run out of food in the past year and/or been worried about running out of food. This is less than the national average of 34.1%, however it is a significant increase in Bergen county since 2016 (19.5%). - a total of 8.7% of Bergen county adults report using a food pantry or receiving free meals from a charitable organization within the past year. Health Literacy --------------- - Most Bergen county adults report little to no trouble understanding health information, whether written or spoken. However, 12.5% report that health information is seldom or never written in a way that is easy for them to understand. Another 8.6% report that health information is seldom or never spoken in a way that is easy for them to understand. Internet Access --------------- - Most Bergen county adults (94.1%) report that they have access to high-speed internet that is sufficient for their daily needs. SCHEDULE H, PART VI; QUESTION 5 ENGLEWOOD HOSPITAL WAS FOUNDED IN 1888. THE HOSPITAL IS A LEADING PROVIDER OF HIGH-QUALITY, COMPREHENSIVE, AND HUMANISTIC CARE SERVING NORTHERN NEW JERSEY AND BEYOND. ENGLEWOOD HOSPITAL IS A PROVIDER OF GENERAL ACUTE HEALTHCARE SERVICES IN BERGEN COUNTY, NEW JERSEY AND IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, EHMC PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, IT OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. OPERATES AN EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF ENGLEWOOD HOSPITAL RESTS WITH ITS BOARD OF TRUSTEES WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. SURPLUS FUNDS ARE REINVESTED IN THE ORGANIZATION, PRINCIPALLY THROUGH CAPITAL INVESTMENT, AND ALSO TO MEET FUTURE PROGRAMMATIC NEEDS, WHICH MEETS THE ORGANIZATION'S COMMITMENT TO MEET THE EXPECTATIONS OF ITS PATIENTS BY PROVIDING QUALITY HEALTHCARE AND THEREFORE, MAKES THESE INVESTMENTS TO SECURE ITS FUTURE OF SERVICE DELIVERY TO THE COMMUNITY. THE OPERATIONS OF THE HOSPITAL AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. ADDITIONALLY, VARIOUS COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIO-ECONOMIC WELL-BEING OF THE COMMUNITIES IT SERVES. THIS IS ACCOMPLISHED THROUGH NUMEROUS ACTIVITIES WHICH ARE NOT A PART OF PART I, FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS, AND ARE NOT INCLUDED ELSEWHERE ON SCHEDULE H. THESE ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS SUCH AS EDUCATION, POVERTY, UNEMPLOYMENT, ACCESS TO CARE, HEALTH ADVOCACY AND ECONOMIC DEVELOPMENT. THE ORGANIZATION PROVIDES NUMEROUS EDUCATIONAL PROGRAMS FOR THE COMMUNITY WHICH INCLUDES, BUT IS NOT LIMITED TO: - ACCELERATED CHILDBIRTH CLASSES; - BREASTFEEDING CLASSES; - CHILDBIRTH REFRESHER CLASSES; - HEALTH FAIRS AT VARIOUS COMMUNITY EVENTS; AND - SIBLING PREPARATION CLASSES. ENGLEWOOD HOSPITAL ALSO PROVIDES NUMEROUS HEALTH SCREENINGS FOR THE COMMUNITY WHICH INCLUDES, BUT IS NOT LIMITED TO: - BLOOD DRIVES; - HOSPITAL SCREENINGS; - SKIN CANCER SCREENINGS; - PROSTATE CANCER SCREENINGS; AND - VEIN SCREENING. IN ADDITION, THE ORGANIZATION PROVIDES VARIOUS PROGRAMS THAT PROMOTE GOOD HEALTH THESE INCLUDE, BUT ARE NOT LIMITED TO: - FLU/COVER YOUR MOUTH EDUCATIONAL HANDOUTS AND POSTERS; - HAND HYGIENE PUBLIC SERVICE ANNOUNCEMENTS AND POSTERS; - PILATES (WHICH PROMOTES IMPROVED HEALTH); - POSTNATAL YOGA; - PRENATAL YOGA; AND - WEIGHT WATCHERS AT WORK (FOR EMPLOYEES). ENGLEWOOD HOSPITAL REACHES OUT TO NOTIFY THE COMMUNITY ABOUT ITS VARIOUS PROGRAMS AND SERVICES VIA A COMMUNITY NEWSLETTER PUBLISHED QUARTERLY. ADDITIONALLY, THE ORGANIZATION ADVERTISES IN COMMUNITY AND REGIONAL NEWSPAPERS. FOR ADDITIONAL INFORMATION, PLEASE REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. SCHEDULE H, PART VI; QUESTION 6 OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISES ENGLEWOOD HEALTHCARE SYSTEM AND ITS AFFILIATES: ENGLEWOOD HEALTHCARE SYSTEM, INC. --------------------------------- ENGLEWOOD HEALTHCARE SYSTEMC, INC. ("ENGLEWOOD HEALTH") IS THE TAX-EXEMPT PARENT OF ENGLEWOOD HEALTHCARE SYSTEM AND AFFILIATES ("SYSTEM"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER ENGLEWOOD HEALTH OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY ENGLEWOOD HEALTH. THE ORGANIZATION WAS FOUNDED IN 1986 AND IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). ADDITIONALLY, THE ORGANIZATION IS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION'S PURPOSE IS TO COORDINATE AND SUPPORT THE PLANNING AND OTHER ACTIVITIES RELATED TO THE PROMOTION OF HEALTH OF PEOPLE IN THE SYSTEM'S SERVICE AREA OF BERGEN COUNTY. ENGLEWOOD HOSPITAL AND MEDICAL CENTER, INC. ------------------------------------------- ENGLEWOOD HOSPITAL AND MEDICAL CENTER, INC. ("ENGLEWOOD HOSPITAL") WAS FOUNDED IN 1888 AND IS CURRENTLY A 531-LICENSED BED, MAJOR TEACHING, ACUTE CARE HOSPITAL LOCATED IN ENGLEWOOD, NEW JERSEY. THE ORGANIZATION'S MISSION IS TO PROVIDE COMPREHENSIVE, STATE-OF-THE-ART PATIENT SERVICES; EMPHASIZE CARING AND OTHER HUMAN VALUES IN THE TREATMENT OF PATIENTS AND IN RELATIONS WITH THEIR FAMILIES, AND AMONG EMPLOYEES, MEDICAL STAFF, AND COMMUNITY; BE A CENTER OF EDUCATION AND RESEARCH; AND PROVIDE EMPLOYEES AND MEDICAL STAFF WITH MAXIMUM OPPORTUNITIES TO ACHIEVE THEIR PERSONAL AND PROFESSIONAL GOALS. ENGLEWOOD HOSPITAL IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, IT OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, INC. ------------------------------------------------------ ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, INC. ("ENGLEWOOD HEALTH FOUNDATION") IS NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 1995. THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING AND DEVELOPMENT ACTIVITIES ENGLEWOOD HEALTH FOUNDATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ENGLEWOOD HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MEDICAL ASSOCIATES OF ENGLEWOOD, P.C. ------------------------------------- MEDICAL ASSOCIATES OF ENGLEWOOD, P.C. ("ENGLEWOOD HEALTH PHYSICIAN NETWORK") IS A NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 2011. THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND IS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS STRUCTURED AS A PROFESSIONAL CORPORATION PURSUANT TO THE PROVISIONS OF THE PROFESSIONAL SERVICES CORPORATION ACT OF NEW JERSEY. THE ORGANIZATION'S PURPOSE IS TO PROVIDE PHYSICIAN SERVICES TO FURTHER THE CHARITABLE AND HEALTHCARE PURPOSES OF THE ENGLEWOOD HEALTH AND ITS AFFILIATES. BY PRACTICING MEDICINE, ENGAGING IN MEDICAL EDUCATION AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY, THE ORGANIZATION COMPRISES A COMPONENT OF THE CLINICAL SERVICE PHYSICIAN PRACTICE PLANS OF ENGLEWOOD HOSPITAL AND IS AN INTEGRAL PART OF THE SYSTEM. EMERGENCY PHYSICIANS OF ENGLEWOOD, P.C. --------------------------------------- EMERGENCY PHYSICIANS OF ENGLEWOOD, P.C. IS A NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 2012. THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND IS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS STRUCTURED AS A PROFESSIONAL CORPORATION PURSUANT TO THE PROVISIONS OF THE PROFESSIONAL SERVICES CORPORATION ACT OF NEW JERSEY. THE ORGANIZATION'S PURPOSE IS TO PROVIDE EMERGENCY ROOM SERVICES AT ENGLEWOOD HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PHYSICIAN PARTNERS OF ENGLEWOOD, P.C. ------------------------------------- PHYSICIAN PARTNERS OF ENGLEWOOD, P.C. IS A NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 2012. THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND IS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS STRUCTURED AS A PROFESSIONAL CORPORATION PURSUANT TO THE PROVISIONS OF THE PROFESSIONAL SERVICES CORPORATION ACT OF NEW JERSEY. THE ORGANIZATION'S PURPOSE IS TO PROVIDE PHYSICIAN SERVICES FOR PATIENTS OF ENGLEWOOD HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ENGLEWOOD MEDICAL ASSOCIATES, INC. --------------------------------- ENGLEWOOD MEDICAL ASSOCIATES, INC. IS A NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 1996. THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND IS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION WAS FORMED TO ACQUIRE PHYSICIAN MEDICAL PRACTICES AND EMPLOY FULL-TIME FACULTY PHYSICIANS IN SUPPORT OF ENGLEWOOD HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION IS CURRENTLY INACTIVE. ENGLEWOOD HEALTHCARE PROPERTIES, INC. ------------------------------------- ENGLEWOOD HEALTHCARE PROPERTIES, INC. IS A NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 1989. THE ORGANIZATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(2). THE ORGANIZATION'S PURPOSE IS TO MANAGE REAL PROPERTY IN SUPPORT OF ENGLEWOOD HOSPITAL'S PRIMARY TAX-EXEMPT PURPOSE OF PROVIDING QUALITY HEALTHCARE SERVICES IN BERGEN COUNTY, NEW JERSEY. ENGLEWOOD HEALTH ALLIANCE ACO, LLC ---------------------------------- ENGLEWOOD HEALTH ALLIANCE ACO, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY WHOSE SOLE MEMBER IS ENGLEWOOD HOSPITAL. THIS ORGANIZATION IS AN ACCOUNTABLE CARE ORGANIZATION FORMED WITH THE PURPOSE OF PROMOTING THE PROVISION OF BETTER CARE FOR INDIVIDUALS, IMPROVED HEALTH FOR POPULATIONS AND LOWER PER CAPITA GROWTH IN EXPENDITURES OF HORIZON BENEFICIARIES. ENGLEWOOD HEALTH ACO, LLC ------------------------- ENGLEWOOD HEALTH ACO, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY WHOSE SOLE MEMBER IS ENGLEWOOD HOSPITAL. THIS ORGANIZATION IS AN ACCOUNTABLE CARE ORGANIZATION FORMED WITH THE PURPOSE TO OPERATE AND PARTICIPATE IN THE MEDICARE SHARED SAVINGS PROGRAM. ENGLEWOOD HEALTHCARE ENTERPRISES, INC. -------------------------------------- ENGLEWOOD HEALTHCARE ENTERPRISES, INC. IS A WHOLLY-OWNED SUBSIDIARY OF ENGLEWOOD HEALTHCARE SYSTEM. THE ORGANIZATION WAS FORMED IN 1988 FOR THE PURPOSE OF PROVIDING HEALTHCARE SERVICES WITHIN THE SYSTEM'S PRIMARY SERVICE AREA. THIS ORGANIZATION PROVIDES CLINICAL AND ADMINISTRATIVE STAFF SUPPORT THE PROFESSIONAL CORPORATIONS WITHIN THE ENGLEWOOD HOSPITAL PHYSICIAN INTEGRATION PROGRAM. SCHEDULE H, PART VI; QUESTION 7 THIS ORGANIZATION IS LOCATED IN THE STATE OF NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS REQUIRED TO BE FILED BY THIS STATE. X X X X false true false false false false false true false WARREN GELLER SECRETARY - TRUSTEE; PRES/CEO 1592709 0 554508 0 235567 0 308500 0 27966 0 2719250 0 0 0 ANTHONY T ORLANDO EVP, FINANCE/CFO 763766 0 224700 0 171808 0 34500 0 28818 0 1223592 0 0 0 HELENE D WOLK EVP, OPERATIONS/COO 740510 0 197300 0 115484 0 11500 0 13227 0 1078021 0 0 0 PATRICIA G WILSON SVP, HUMAN RESOURCES/CHRO 551969 0 136700 0 157799 0 34500 0 18907 0 899875 0 0 0 MICHAEL PIETROWICZ SVP, PLANNING & PROG DEV/CSO 521304 0 129700 0 148990 0 34500 0 29088 0 863582 0 0 0 KATHLEEN A KAMINSKY MS RN SVP, PATIENT SVCS/CNO 487685 0 113200 0 143645 0 31242 0 26221 0 801993 0 0 0 MATTHEW AMODEO EVP, LEGAL AFFAIRS/CLO 595542 0 159200 0 18664 0 250 0 7785 0 781441 0 0 0 VICKI LYN HOFFMAN VP, OPERATIONS 366118 0 68600 0 84617 0 2600 0 28271 0 550206 0 0 0 MARCELLO GUARNERI VP, FINANCE 406156 0 88100 0 11400 0 6900 0 31021 0 543577 0 0 0 PETER SYMINGTON MD TRUSTEE 0 234985 0 71451 0 7326 0 0 0 16824 0 330586 0 0 MARK SHAPIRO MD TRUSTEE (TERM 01/01/24) 0 250000 0 0 0 0 0 0 0 0 0 250000 0 0 SCHEDULE J, PART I; QUESTION 4B THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THIS INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN HIS 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: WARREN GELLER, $274,000. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED an incentive payment DURING CALENDAR YEAR 2024 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. DAVID KAMINSKY FAMILY MEMBER OF OFFICER 125104 EMPLOYEE false MICHAEL WILSON FAMILY MEMBER OF OFFICER 97467 EMPLOYEE false ANGELa ORLANDO FAMILY MEMBER OF OFFICER 62637 EMPLOYEE false ANDREW BRUNNQUELL FAMILY MEMBER OF OFFICER 46677 EMPLOYEE false CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BACKGROUND AND OVERVIEW ======================= ENGLEWOOD HOSPITAL AND MEDICAL CENTER ("ENGLEWOOD HOSPITAL") IS PART OF ENGLEWOOD HEALTHcare system ("Englewood health") DELIVERS NATIONALLY RECOGNIZED INPATIENT AND OUTPATIENT CARE THROUGH ITS HOSPITAL AND INTEGRATED NETWORK OF PHYSICIAN PRACTICES AND IMAGING CENTERS ACROSS BERGEN, HUDSON, PASSAIC, ESSEX AND MORRIS COUNTIES. ENGLEWOOD HOSPITAL, INCORPORATED IN 1888 AND OPEN SINCE 1890, CONSISTENTLY EARNS HIGH MARKS FOR CLINICAL EXCELLENCE AND PATIENT SAFETY. IT HOLDS THE LEAPFROG HOSPITAL SAFETY GRADE 'AHAS BEEN NAMED A LEAPFROG TOP TEACHING HOSPITAL SEVEN TIMES, INCLUDING IN 2024. ENGLEWOOD HOSPITAL IS NATIONALLY RECOGNIZED FOR NURSING EXCELLENCE, EARNING A FIFTH CONSECUTIVE DESIGNATION BY THE MAGNET RECOGNITION PROGRAM IN 2021. THE HOSPITAL IS LICENSED FOR 531 BEDS (CURRENTLY STAFFING ~290) ON ITS 1.3 MILLION SQUARE FOOT CAMPUS LOCATED AT 350 ENGLE STREET IN ENGLEWOOD (BERGEN COUNTY), NEW JERSEY. ENGLEWOOD HOSPITAL IS A PROVIDER OF GENERAL ACUTE HEALTHCARE SERVICES IN BERGEN COUNTY, NEW JERSEY. ENGLEWOOD HOSPITAL IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, ENGLEWOOD HOSPITAL PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, SEXUAL ORIENTATION, GENDER IDENTITY, NATIONAL ORIGIN, OR ABILITY TO PAY. MOREOVER, ENGLEWOOD HOSPITAL OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE, AND MEDICAID PATIENTS; 2. OPERATES AN EMERGENCY DEPARTMENT FOR ALL PERSONS, WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF ENGLEWOOD HOSPITAL RESTS WITH ITS BOARD OF TRUSTEES, WHICH COMPRISES INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES, AND ADVANCE MEDICAL CARE, COMMUNITY OUTREACH PROGRAMS, AND ACTIVITIES. THE OPERATIONS OF ENGLEWOOD HOSPITAL, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF ENGLEWOOD HOSPITAL IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL, NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. ENGLEWOOD HOSPITAL PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. MOREOVER, ENGLEWOOD HOSPITAL PROVIDES HEALTHCARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND HUMAN SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. ENGLEWOOD HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE AMOUNT OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS FINANCIAL ASSISTANCE POLICY. THE ENGLEWOOD HEALTH PHYSICIAN NETWORK, A COORDINATED NETWORK OF MORE THAN 800 OFFICE-BASED AND HOSPITAL-BASED PROVIDERS, OFFERS PRIMARY CARE, SPECIALTY CARE, INPATIENT CARE, AND URGENT CARE AT MORE THAN 120 LOCATIONS IN FIVE COUNTIES ACROSS NORTHERN NEW JERSEY. AREAS OF CLINICAL EXCELLENCE OFFERED BY THE HEALTH SYSTEM INCLUDE CARDIAC SURGERY AND CARDIAC CARE, CANCER CARE, ORTHOPEDIC SURGERY, PRIMARY CARE, SPINE SURGERY, VASCULAR SURGERY, AND WOMEN'S HEALTH, AS WELL AS BLOODLESS MEDICINE AND SURGERY AND MINIMALLY INVASIVE ROBOTIC SURGERY. THE HOSPITAL'S STATE-OF-THE-ART IMAGING CENTERS ACROSS THE REGION ENHANCE ACCESS TO DIAGNOSTIC IMAGING, BREAST IMAGING, AND CARDIAC IMAGING. THE SYSTEM ALSO INCLUDES JOINT VENTURE SERVICES IN URGENT CARE, HOME HEALTH, AND AMBULATORY SURGERY. ENGLEWOOD HOSPITAL IS A COMMUNITY TEACHING HOSPITAL, OFFERING A VASCULAR SURGERY FELLOWSHIP AND A BREAST SURGERY FELLOWSHIP, RESIDENCY PROGRAMS IN DENTISTRY, INTERNAL MEDICINE, NURSING, PHARMACY, AND PODIATRY, AND TRAINING PROGRAMS IN RADIOGRAPHY, EMERGENCY MEDICAL SERVICES, AND OTHER DISCIPLINES. ENGLEWOOD HOSPITAL'S FOCUS ON HEALTH EQUITY AND POPULATION HEALTH ENCOMPASSES OUTREACH TO UNDERSERVED COMMUNITIES TO ENHANCE INDIVIDUAL AND PUBLIC HEALTH, PREVENT DISEASE, SUPPORT LIFELONG WELLNESS, REDUCE THE BURDEN OF MENTAL HEALTH CHALLENGES AND SUBSTANCE USE DISORDERS, AND MEET THE CULTURAL, SOCIAL, AND HOLISTIC NEEDS OF SPECIFIC POPULATIONS. WITH ITS HIGH-QUALITY, CULTURALLY SENSITIVE INPATIENT CARE, OUTPATIENT SERVICES, AND COMMUNITY HEALTH AND WELLNESS PROGRAMS, ENGLEWOOD HOSPITAL DELIVERS A HEALTHCARE EXPERIENCE THAT PUTS PATIENTS AT THE CENTER. VISION: TO BE THE MOST TRUSTED CHOICE FOR HEALTHCARE BY THE COMMUNITIES WE SERVE. MISSION: TO TRANSFORM LIVES THROUGH HEALTHCARE, FROM PREVENTIVE SERVICES TO HIGHLY SPECIALIZED, LIFESAVING TREATMENTS. COMMUNITY HEALTH ================ ENGLEWOOD HEALTH IS DEDICATED TO ENGAGING OUR PATIENTS AND COMMUNITY MEMBERS IN A WIDE RANGE OF EDUCATIONAL OPPORTUNITIES, PREVENTION PROGRAMS, AND WELLNESS EFFORTS WITH THE GOALS OF IMPROVING ACCESS, ENHANCING THE HEALTH OF THE COMMUNITY, ADVANCING HEALTHCARE KNOWLEDGE, AND OFFSETTING THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS. THE HEALTH SYSTEM IMPLEMENTS TARGETED OUTREACH TO UNDERSERVED COMMUNITIES TO ENHANCE INDIVIDUAL AND PUBLIC HEALTH, PREVENT DISEASE, SUPPORT LIFELONG WELLNESS, REDUCE THE BURDEN OF MENTAL HEALTH CHALLENGES AND SUBSTANCE USE DISORDERS, AND MEET THE SPECIFIC NEEDS OF DIVERSE POPULATIONS. AN ESSENTIAL COMPONENT TO ALL OF THESE INITIATIVES IS TO REMOVE ANY BARRIERS TO VITAL RESOURCE CONNECTIONS, TO FURTHER ENABLE COMMUNITY MEMBERS TO HAVE ACCESS TO THE RESOURCES AND TOOLS THEY NEED TO LIVE THEIR HEALTHIEST LIVES. 2024 COMMUNITY HEALTH HIGHLIGHTS: IN 2024, THROUGH A WIDE RANGE OF INITIATIVES AND OUTREACH PROGRAMS, OUR DEDICATED TEAMS MADE A SIGNIFICANT IMPACT ON THE LIVES OF COUNTLESS INDIVIDUALS. WE CONDUCTED OVER 138,000 SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENINGS TO BETTER UNDERSTAND AND ADDRESS THE NEEDS OF OUR PATIENTS. ADDITIONALLY, OUR FIND HELP DIGITAL RESOURCE PROGRAM LAUNCHED IN JULY 2024 AND IS INTEGRATED INTO OUR ELECTRONIC HEALTH RECORD SYSTEM. IN THE FIRST FIVE MONTHS OF USING THIS NEW SYSTEM, WE CONNECTED NEARLY 900 PATIENTS WITH IDENTIFIED NEEDS TO ESSENTIAL RESOURCES AND SERVICES. FOR THE FIRST TIME, WE HOSTED A SCREENING EVENT ON THE ANNUAL LUNG CANCER SCREENING DAY, A NATIONWIDE INITIATIVE TO PROMOTE EARLY LUNG CANCER DETECTION THROUGH LOW-DOSE COMPUTED TOMOGRAPHY (LDCT) SCREENINGS, AND OUR YEAR-TO-DATE TOTAL NOW SURPASSES 2,300 INDIVIDUALS SCREENED. ENGLEWOOD HEALTH HOSTED MORE THAN 400 EDUCATIONAL EVENTS AND HEALTH LECTURES, EMPOWERING MORE THAN 21,000 COMMUNITY MEMBERS WITH VALUABLE HEALTH KNOWLEDGE. THESE REMARKABLE ACHIEVEMENTS UNDERSCORE OUR STRONG COMMITMENT TO DELIVERING COMPREHENSIVE CARE THAT EXTENDS BEYOND HOSPITAL WALLS, AND WE REMAIN DEDICATED TO FOSTERING A HEALTHIER COMMUNITY. SUCCESSFULLY LEVERAGING DIGITAL ENGAGEMENT TO IMPROVE ACCESS: ACCESSIBILITY TO CARE IS ESSENTIAL TO SUPPORTING THE HEALTH OF THE POPULATIONS WE SERVE. ENGLEWOOD HEALTH HAS REVOLUTIONIZED IMPORTANT ASPECTS OF CARE AND ENGAGEMENT THROUGH TAILORED MESSAGING AND ACCESS OPTIONS. THROUGH AUTOMATED DIGITAL CAMPAIGNS, WE HAVE CONNECTED TO THOUSANDS OF PATIENTS, EMPOWERING THEM TO TAKE CHARGE OF THEIR HEALTH. WITH SELF-SCHEDULING LINKS, PHONE OPTIONS, AND SOON, VIRTUAL AGENTS, WE HAVE MADE HEALTHCARE MORE ACCESSIBLE AND CONVENIENT. THIS EFFORT HAS ACHIEVED STRONG RESULTS, WITH OVER 10,000 PATIENTS SCHEDULING THEIR OWN MAMMOGRAM SCREENINGS, COLORECTAL SCREENINGS, AND ANNUAL PHYSICALS. THE SHIRVAN FAMILY LIVE WELL CENTER: IN 2024, THE SHIRVAN FAMILY LIVE WELL CENTER EMPOWERED INDIVIDUALS TO TAKE CONTROL OF THEIR HEALTH AND WELL-BEING THROUGH FREE EDUCATION, HANDS-ON CLASSES, AND WORKSHOPS. BUILDING ON ITS MISSION, THE CENTER PROVIDED A RANGE OF PROGRAMS AND SERVICES PROMOTING HEALTHY LIVING, DISEASE PREVENTION, AND OVERALL WELLNESS. WITH OVER 6,200 PARTICIPANT VISITS, CLOSE TO 900 CLASSES, AND ALMOST 40 HEALTH TALKS FROM ENGLEWOOD HEALTH CLINICIANS, THE CENTER IS MAKING A POSITIVE IMPACT. HEALTH EDUCATION TOPICS HAVE INCLUDED DIABETES, CANCER, WOMEN'S HEALTH, BEHAVIORAL HEALTH, HEART HEALTH, AND GENERAL HEALTH, WHICH HAVE BEEN WELL-RECEIVED. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ADVANCING MATERNAL HEALTH AND WELLNESS: ENGLEWOOD HEALTH EXPANDED ITS FOCUS ON MATERNAL HEALTH PROGRAMMING AND INITIATIVES ACROSS MULTIPLE AREAS. AS RESEARCH HAS SHOWN THAT HEALTHY BEHAVIORS, SUCH AS REGULAR EXERCISE, BALANCED NUTRITION, AND EMOTIONAL WELLNESS REDUCE THE RISK OF PREGNANCY COMPLICATIONS AND CONTRIBUTE TO LONG-TERM MATERNAL AND INFANT HEALTH, THE MATERNAL HEALTHY LIVING PROGRAM WAS LAUNCHED IN SPRING 2024. THIS PROGRAM, HELD AT THE SHIRVAN FAMILY LIVE WELL CENTER, PROVIDES COMPREHENSIVE PRENATAL CLASSES FOCUSED ON THREE KEY WELLNESS AREAS: PHYSICAL, EMOTIONAL, AND NUTRITIONAL WELLNESS. THE MATERNAL CHILD HEALTH BLOOD PRESSURE MONITORING PROGRAM, LAUNCHED DECEMBER 2023, PROVIDES BLOOD PRESSURE MONITORING PACKS TO ANTEPARTUM AND POSTPARTUM PATIENTS WITH HYPERTENSION DISORDERS. EXPANSION OF BEHAVIORAL HEALTH SERVICES AND CARE: ENGLEWOOD HEALTH HAS MADE SIGNIFICANT STRIDES IN EXPANDING ITS BEHAVIORAL HEALTH SERVICES, FOCUSING ON ACCESSIBILITY, ADDICTION SUPPORT, AND DESTIGMATIZING MENTAL HEALTH NEEDS. TO ACHIEVE THIS, THE ORGANIZATION HAS INVESTED IN EDUCATIONAL EVENTS, AWARENESS CAMPAIGNS, AND CRITICAL EXPANSION OF SERVICES. WE RECENTLY OPENED A DEDICATED BEHAVIORAL HEALTH ACCESS CENTER, DESIGNED TO TRIAGE AND CONNECT INDIVIDUALS WITH THE APPROPRIATE RESOURCES, INCLUDING PSYCHIATRISTS, SOCIAL WORKERS, AND OTHER ESSENTIAL SERVICES. IN 2024, THE EMERGENCY DEPARTMENT EXPANDED ITS SUBSTANCE ABUSE SCREENING PROGRAM, AND HAS SINCE SCREENED OVER 20,000 PATIENTS. THIS INITIATIVE ENABLES THE HEALTHCARE TEAM TO IDENTIFY INDIVIDUALS STRUGGLING WITH ADDICTION AND PROVIDE THEM WITH CONNECTIONS TO RESOURCES AND CARE. TO INCREASE LOCAL ACCESS TO THESE SERVICES, WE LAUNCHED A COMPREHENSIVE ADDICTION MEDICINE PROGRAM. BY PROVIDING PERSONALIZED CARE, SCREENINGS, MEDICATION-ASSISTED TREATMENTS, AND BEHAVIORAL INTERVENTIONS, THE PROGRAM AIMS TO SUPPORT INDIVIDUALS STRUGGLING WITH ADDICTION ON THEIR JOURNEY TO RECOVERY AND WELLNESS. IN 2024 ENGLEWOOD HOSPITAL IMPLEMENTED CLOSE TO 600 PROGRAMS. THESE PROGRAMS IMPACTED MORE THAN 36,000 INDIVIDUALS. CLINICAL SERVICES ----------------- THE HOSPITAL PROVIDES A COMPREHENSIVE RANGE OF MEDICAL SERVICES ACROSS MAJOR SPECIALTY AREAS INCLUDING: EMERGENCY SERVICES: ENGLEWOOD HOSPITAL DELIVERS HIGH-QUALITY EMERGENCY CARE THROUGH A MODERN, 35,000-SQUARE-FOOT EMERGENCY CARE CENTER DESIGNED TO SUPPORT EFFICIENCY, PATIENT SAFETY, AND COMFORT. SINCE ITS OPENING IN 2009, THE FACILITY HAS BEEN OPTIMIZED TO MEET THE NEEDS OF PATIENTS AND FAMILIES THROUGH A THOUGHTFUL COMBINATION OF ADVANCED TECHNOLOGY, WORKFLOW DESIGN, AND PATIENT-CENTERED AMENITIES. THE TEAM MANAGES A HIGH VOLUME OF CASES WITH A STRONG FOCUS ON QUALITY AND SAFETY. THE DEPARTMENT HAS IMPLEMENTED CONTINUOUS IMPROVEMENTS IN CLINICAL PROTOCOLS, PATIENT FLOW, AND COMMUNICATION PRACTICES TO ENHANCE OUTCOMES AND PATIENT SATISFACTION. IN COLLABORATION WITH ITS EMERGENCY MEDICAL SERVICES (EMS) PROVIDERS AND EMS TEAMS ACROSS THE REGION, THE HOSPITAL ALSO SUPPORTS PRE-HOSPITAL CARE COORDINATION, RAPID TRIAGE, AND SPECIALTY PROTOCOLS FOR CONDITIONS SUCH AS STROKE AND CARDIAC EVENTS. THROUGH ONGOING PROGRAM DEVELOPMENT AND RESPONSIVENESS TO COMMUNITY HEALTH NEEDS, THE EMERGENCY DEPARTMENT AT ENGLEWOOD HEALTH CONTINUES TO SERVE AS A TRUSTED AND VITAL ACCESS POINT FOR URGENT AND EMERGENT CARE IN NORTHERN NEW JERSEY. DIAGNOSTIC IMAGING AND BREAST CARE: ENGLEWOOD HOSPITAL OFFERS ADVANCED DIAGNOSTIC IMAGING SERVICES ACROSS A GROWING NETWORK OF LOCATIONS, PROVIDING CRITICAL TOOLS FOR EARLY DETECTION, ACCURATE DIAGNOSIS, AND EFFECTIVE TREATMENT PLANNING. THE HEALTH SYSTEM CONTINUES TO INVEST IN HIGH-RESOLUTION IMAGING TECHNOLOGY AND EXPAND ACCESS TO SERVICES THROUGHOUT NORTHERN NEW JERSEY. THE LESLIE SIMON BREAST CARE AND CYTODIAGNOSIS CENTER AT ENGLEWOOD HEALTH IS A REGIONAL LEADER IN THE DIAGNOSIS AND MANAGEMENT OF BREAST CANCER AND BENIGN BREAST CONDITIONS. THE CENTER PROVIDES A COMPREHENSIVE RANGE OF BREAST IMAGING AND DIAGNOSTIC PROCEDURES, INCLUDING DIGITAL MAMMOGRAPHY, BREAST ULTRASOUND, MRI, FINE NEEDLE ASPIRATION, AND IMAGE-GUIDED CORE BIOPSY. SERVICES ARE FULLY INTEGRATED WITH MULTIDISCIPLINARY CARE TEAMS TO SUPPORT TIMELY AND COORDINATED TREATMENT PLANNING. TO ENHANCE REGIONAL ACCESS, ENGLEWOOD HOSPITAL HAS EXPANDED IMAGING SERVICES, INCLUDING BREAST IMAGING, TO THREE ADDITIONAL LOCATIONS IN EMERSON, FAIR LAWN, AND JERSEY CITY, WITH A FOURTH SITE SCHEDULED TO OPEN IN WOODLAND PARK IN FALL 2025. THESE COMMUNITY-BASED SITES ALLOW FOR CONVENIENT, HIGH-QUALITY SCREENING AND DIAGNOSTICS CLOSER TO WHERE PATIENTS LIVE AND WORK. CANCER: THE LEFCOURT FAMILY CANCER TREATMENT AND WELLNESS CENTER IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS AS A COMPREHENSIVE COMMUNITY CANCER PROGRAM. ITS CANCER EXPERTS HAVE EXTENSIVE AND SPECIALIZED EXPERIENCE IN DIAGNOSING AND TREATING ALL MAJOR FORMS OF CANCER AND ACHIEVING THE HIGHEST STANDARDS OF EXCELLENCE IN CANCER DIAGNOSIS AND MANAGEMENT. PATIENTS ALSO BENEFIT FROM THE SERVICES OF PATIENT NAVIGATORS AND SPECIALISTS IN NUTRITION, PAIN AND PALLIATIVE MEDICINE, INTEGRATIVE MEDICINE, AND GENETIC COUNSELING, AS WELL AS ACCESS TO NEW TREATMENT OPTIONS THROUGH CLINICAL RESEARCH TRIALS. THE CANCER CENTER BRINGS TOGETHER PROVIDERS, STAFF, SERVICES, AND TECHNOLOGY IN A SINGLE CENTRALIZED LOCATION (FUNDED USING THE PROCEEDS OF ITS 2013 HUD-INSURED MORTGAGE LOAN) THAT EMBODIES A PATIENT-FIRST PHILOSOPHY. IN MORE RECENT YEARS, THE CANCER CENTER HAS EXPANDED OUTPATIENT ONCOLOGY SERVICES, INCLUDING RECRUITING SEVERAL NEW SPECIALISTS TO SERVE OUR HUDSON COUNTY PATIENTS. HEART AND VASCULAR: ENGLEWOOD HEALTH IS A NATIONALLY RECOGNIZED REGIONAL CENTER FOR THE DIAGNOSIS AND TREATMENT OF HEART AND VASCULAR DISEASE. THE PROGRAM DELIVERS HIGH-VOLUME, HIGH-QUALITY CARE THROUGH A MULTIDISCIPLINARY TEAM OF MORE THAN 100 CARDIOLOGY AND VASCULAR EXPERTS, SERVING PATIENTS AT OVER 30 LOCATIONS ACROSS BERGEN, HUDSON, ESSEX, PASSAIC, AND MORRIS COUNTIES IN NEW JERSEY. RECOGNIZED BY THE AMERICAN COLLEGE OF CARDIOLOGY, THE SOCIETY OF THORACIC SURGEONS, AND THE AMERICAN HEART ASSOCIATION FOR EXCELLENCE IN QUALITY AND OUTCOMES, ENGLEWOOD HEALTH PROVIDES A FULL SPECTRUM OF CARDIOVASCULAR SERVICES-FROM PREVENTIVE CARDIOLOGY AND CHRONIC DISEASE MANAGEMENT TO COMPLEX INTERVENTIONS AND SURGICAL PROCEDURES. THE PROGRAM CONTINUES TO ADVANCE THROUGH THE ADOPTION OF LEADING-EDGE TECHNOLOGY, A GROWING FOCUS ON MINIMALLY INVASIVE AND CATHETER-BASED THERAPIES, AND CLOSE COORDINATION WITH COMMUNITY-BASED PHYSICIAN PRACTICES. THE CARDIOVASCULAR PROGRAM IS STRUCTURED AROUND KEY AREAS OF EXPERTISE: STRUCTURAL HEART AND VALVE DISEASE, ARRHYTHMIA MANAGEMENT, CORONARY ARTERY DISEASE, AND AORTIC DISEASE. IN ADDITION, THE VASCULAR SURGERY DIVISION OFFERS COMPREHENSIVE CARE AND A LONG-STANDING RECORD OF INNOVATION IN BOTH OPEN AND ENDOVASCULAR PROCEDURES. ENGLEWOOD HEALTH'S HEART AND VASCULAR TEAM TREATS THOUSANDS OF PATIENTS ANNUALLY, COMBINING CLINICAL EXCELLENCE WITH ACCESSIBLE CARE TO IMPROVE OUTCOMES AND QUALITY OF LIFE FOR INDIVIDUALS ACROSS THE REGION. JOINT AND SPINE: ENGLEWOOD HEALTH OFFERS A COMPREHENSIVE JOINT AND SPINE PROGRAM THAT DELIVERS ADVANCED SURGICAL AND NONSURGICAL CARE TO RESTORE MOBILITY, REDUCE PAIN, AND IMPROVE QUALITY OF LIFE FOR PATIENTS WITH MUSCULOSKELETAL CONDITIONS. THE HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION FOR HIP REPLACEMENT, KNEE REPLACEMENT, AND SPINAL FUSION, EARNING THE GOLD SEAL OF APPROVAL FOR ITS DEMONSTRATED COMMITMENT TO SAFETY, EFFECTIVENESS, AND PATIENT-CENTERED CARE. FELLOWSHIP-TRAINED ORTHOPEDIC SURGEONS AND NEUROSURGEONS ARE PART OF A MULTIDISCIPLINARY TEAM THAT INCLUDES NURSES AND SPECIALISTS IN PAIN MANAGEMENT AND REHABILITATION, ENSURING SEAMLESS COORDINATION THROUGHOUT EACH PATIENT'S TREATMENT JOURNEY. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS MATERNITY: ENGLEWOOD HEALTH IS A HIGH-VOLUME CENTER FOR MATERNITY CARE, DELIVERING SOME 3,000 BABIES ANNUALLY IN A SUPPORTIVE, PATIENT-CENTERED ENVIRONMENT. THE HOSPITAL'S MATERNITY PROGRAM INTEGRATES COMPREHENSIVE PRENATAL, PERINATAL, AND POSTNATAL SERVICES, WITH A STRONG EMPHASIS ON CLINICAL EXCELLENCE, SAFETY, AND INDIVIDUALIZED CARE. NAMED AMONG THE NATION'S TOP HOSPITALS FOR MATERNITY CARE BY U.S. NEWS & WORLD REPORT AND NEWSWEEK, ENGLEWOOD HEALTH COMBINES AWARD-WINNING SERVICES WITH A DEDICATED TEAM OF OBSTETRICIANS, MATERNAL-FETAL MEDICINE SPECIALISTS, NURSES, AND SUPPORT STAFF. PATIENTS BENEFIT FROM ACCESS TO A BROAD NETWORK OF OBSTETRIC PROVIDERS ACROSS BERGEN AND HUDSON COUNTIES, ENSURING CONTINUITY AND CONVENIENCE THROUGHOUT PREGNANCY. THE HOSPITAL'S MATERNAL-FETAL MEDICINE CENTER PROVIDES ADVANCED DIAGNOSTICS, GENETIC TESTING, AND CARE FOR BOTH ROUTINE AND HIGH-RISK PREGNANCIES. FOR NEWBORNS REQUIRING SPECIALIZED CARE, THE ON-SITE NEONATAL INTENSIVE CARE UNIT (NICU) IS EQUIPPED TO MANAGE PREMATURE BIRTHS AND COMPLEX MEDICAL NEEDS. ENGLEWOOD HEALTH'S MATERNITY PROGRAM IS COMMITTED TO DELIVERING HIGH-QUALITY, EQUITABLE CARE FOR ALL PATIENTS AND THEIR FAMILIES ACROSS THE REGION. ADVANCED SURGICAL SERVICES: ENGLEWOOD HOSPITAL PROVIDES ADVANCED SURGICAL CARE THROUGH A BROAD RANGE OF SPECIALTIES, WITH A FOCUS ON SAFETY, INNOVATION, AND IMPROVED PATIENT OUTCOMES. THE HOSPITAL IS RECOGNIZED FOR ITS LEADERSHIP IN MINIMALLY INVASIVE AND ROBOTIC SURGERY, AS WELL AS ITS NATIONALLY AND INTERNATIONALLY RENOWNED BLOODLESS MEDICINE PROGRAM. THE SURGICAL DEPARTMENT FEATURES STATE-OF-THE-ART TECHNOLOGIES, INCLUDING THREE DA VINCI SURGICAL SYSTEMS FOR ROBOTIC SURGERY, WHICH ENABLE SURGEONS TO PERFORM COMPLEX PROCEDURES WITH GREATER PRECISION AND MINIMAL DISRUPTION TO SURROUNDING TISSUES. THESE ROBOTIC PLATFORMS SUPPORT A VARIETY OF SPECIALTIES, INCLUDING UROLOGY, GYNECOLOGY, GENERAL SURGERY, AND THORACIC SURGERY, ALLOWING FOR FASTER RECOVERY TIMES, REDUCED POSTOPERATIVE PAIN, AND SHORTER HOSPITAL STAYS. ENGLEWOOD HOSPITAL IS ALSO HOME TO THE INSTITUTE FOR PATIENT BLOOD MANAGEMENT AND BLOODLESS MEDICINE AND SURGERY, A GLOBAL LEADER IN TRANSFUSION-FREE CARE. SINCE ITS FOUNDING IN 1994, THE INSTITUTE HAS SERVED THOUSANDS OF PATIENTS FROM ACROSS THE U.S. AND INTERNATIONALLY, OFFERING BLOODLESS APPROACHES TO HIGHLY COMPLEX SURGERIES, INCLUDING OPEN-HEART, NEUROSURGICAL, ORTHOPEDIC, AND GASTROINTESTINAL PROCEDURES. THROUGH EVIDENCE-BASED TECHNIQUES-SUCH AS BLOOD CONSERVATION STRATEGIES, OPTIMIZED PREOPERATIVE HEMOGLOBIN LEVELS, AND INTRAOPERATIVE BLOOD SALVAGE-THE INSTITUTE MINIMIZES THE NEED FOR TRANSFUSIONS, LOWERS RISK, AND ENHANCES PATIENT SAFETY. AWARDS AND ACCOLADES (HIGHLIGHTS) --------------------------------- HOSPITAL ACCREDITATION BY THE JOINT COMMISSION; DISEASE-SPECIFIC CERTIFICATIONS IN HIP AND KNEE REPLACEMENT, SPINAL FUSION SURGERY, AND STROKE CARE. TOP TEACHING HOSPITAL AWARD FROM THE LEAPFROG GROUP. LEAPFROG 'A' HOSPITAL SAFETY GRADE. DIGITAL HEALTH MOST WIRED AWARD. HEALTHGRADES 100 BEST HOSPITALS FOR ORTHOPEDIC AND SPINE SURGERY. HEALTHGRADES SURGICAL EXCELLENCE AWARD. NEWSWEEK'S WORLD'S BEST HOSPITALS 2024 AND BEST-IN-STATE HOSPITALS 2024; NEWSWEEK'S BEST MATERNITY HOSPITALS LIST. A BEST HOSPITAL FOR MATERNITY CARE RANKED BY U.S. NEWS & WORLD REPORT. THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE EMS GOLD ACHIEVEMENT AWARD FOR EMERGENCY MEDICAL SERVICES (EMS); GET WITH THE GUIDELINES - STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD; GET WITH THE GUIDELINES - RESUSCITATION SILVER QUALITY ACHIEVEMENT AWARD. REACCREDITATION FROM THE COMMISSION ON ACCREDITATION OF AMBULANCE SERVICES (CAAS) FOR EMERGENCY MEDICAL SERVICES (EMS). REACCREDITATION FROM THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP) FOR BARIATRIC SURGERY. CORE FORM, PART V; QUESTION 1A & CORE FORM, PART VII, SECTION B THE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTHCARE SYSTEM, INC. ("ENGLEWOOD HEALTH") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ENGLEWOOD HEALTH IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS ORGANIZATION PAYS OUTSTANDING ACCOUNTS PAYABLE INVOICES ON BEHALF OF CERTAIN OTHER AFFILIATES WITHIN THE SYSTEM. IN CONJUNCTION WITH THIS SERVICE, THIS ORGANIZATION ALSO PREPARES AND ISSUES FORMS 1099 TO THE VENDORS RECEIVING PAYMENTS WHERE APPLICABLE AND FILES FORMS 1099 WITH THE INTERNAL REVENUE SERVICE. THIS ORGANIZATION ALLOCATES THESE PAYMENTS TO THE APPROPRIATE AFFILIATE WITHIN THE SYSTEM VIA AN INTERCOMPANY ACCOUNT. CORE FORM, PART V; QUESTION 15 WARREN GELLER AND ANTHONY T. ORLANDO ARE OFFICERS OF THIS ORGANIZATION AND INVOLVED IN THE LEADERSHIP AND MANAGEMENT. MR. GELLER AND MR. ORLANDO ARE EMPLOYED BY THIS ORGANIZATION AND RECEIVE A FEDERAL FORM W-2. ACCORDINGLY, THEIR COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH ENGLEWOOD HOSPITAL (EIN: 22-1487173). ENGLEWOOD HOSPITAL FILED A 2024 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO THEIR RESPECTIVE COMPENSATION IN EXCESS OF $1M. Helene D. Wolk is employed by this organization and receives a federal form W-2. accordingly, her common law employer/employee relationship is WITH ENGLEWOOD HOSPITAL (EIN: 22-1487173). ENGLEWOOD HOSPITAL FILED A 2024 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO her RESPECTIVE COMPENSATION IN EXCESS OF $1M. CORE FORM, PART VI, SECTION A; QUESTION 2 RICHARD LERNER & ARI NAIM - BUSINESS RELATIONSHIP. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 ENGLEWOOD HEALTH IS THE SOLE MEMBER OF THIS ORGANIZATION. ENGLEWOOD HEALTH HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTH AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ENGLEWOOD HEALTH IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ENGLEWOOD HEALTH BOARD OF TRUSTEES, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE ENGLEWOOD HEALTH GOVERNING BODY HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE SYSTEM HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE SYSTEM'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE SYSTEM'S INTERNAL WORKING GROUP FOR THEIR REVIEW. THE INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW, THE FORM 990 WAS THEN PRESENTED AND MADE AVAILABLE TO THE ENGLEWOOD HEALTH GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTH AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ENGLEWOOD HEALTH IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION AND SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES AND CERTAIN OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE SYSTEM'S DIRECTOR OF AUDIT/COMPLIANCE FOR REVIEW. THE ORGANIZATION'S GOVERNING BODY HAS A NOMINATING AND GOVERNANCE COMMITTEE ("COMMITTEE") WHICH IS COMPRISED OF MEMBERS ITS GOVERNING BOARD AS WELL AS TRUSTEES OF ENGLEWOOD HEALTH. THE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE CONFLICT OF INTEREST DISCLOSURE AND REVIEW PROCESS. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTH AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ENGLEWOOD HEALTH IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE GOVERNING BODY OF ENGLEWOOD HEALTH, ITS BOARD OF TRUSTEES, HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S VICE PRESIDENTS AND ABOVE ("SENIOR MANAGEMENT PERSONNEL"). THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THESE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, NUMBER OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS WITHIN THE ORGANIZATION ARE REVIEWED ANNUALLY BY THE SYSTEM'S PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE SYSTEM'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION C; QUESTION 18 PURSUANT TO STATE OF NEW JERSEY P.L. 2019, CHAPTER 513, (WHICH WAS EFFECTIVE ON JULY 21, 2020), AND AMENDED P.L. 2008, CHAPTER 58 (C.26: 2H-5.1B), THIS ORGANIZATION HAS POSTED ON ITS INTERNET WEBSITE A COPY OF THIS INTERNAL REVENUE SERVICE (IRS) FORM 990 AND ALL SCHEDULES AND SUPPORTING DOCUMENTATION REQUIRED TO BE SUBMITTED TO THE IRS IN CONJUNCTION WITH THE FORM 990 WITH THE EXCEPTION OF THOSE SCHEDULES NOT OPEN FOR PUBLIC INSPECTION. SAID FORM 990 WAS POSTED BY THE ORGANIZATION AFTER FILING ITS FORM 990 WITH THE IRS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. IN ADDITION, THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. CORE FORM, PART VII AND SCHEDULE J CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - CHANGE IN MINIMUM POST-RETIREMENT HEALTH LIABILITIES - ($161,473); - CHANGE IN INTEREST IN NET ASSETS OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $9,807,598; AND - EQUITY TRANSFER FOR CAPITAL PURPOSES - $836,220. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTH AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ENGLEWOOD HEALTH IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF ENGLEWOOD HOSPITAL AND SUBSIDIARIES, FOR THE YEARS ENDED DECEMBER 31, 2024 AND DECEMBER 31, 2023; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS EACH YEAR. THE GOVERNING BODY OF ENGLEWOOD HEALTH, ITS BOARD OF TRUSTEES, HAS AN AUDIT AND COMPLIANCE COMMITTEE. THE ENGLEWOOD HEALTH AUDIT AND COMPLIANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3A THE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTH AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). The system engaged an independent accounting firm to prepare and issue a system wide consolidated audit as set forth in the uniform guidance, 2 C.F.R., Part 200, Subpart F. FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:NURSE PRACTITIONER FEES TOTAL FEES:5870005 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:5551430 FORM 990 PART IX LINE 11G DESCRIPTION:NJ SUBSIDY HEALTHCARE FND TOTAL FEES:5100288 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSCRIPTION FEES TOTAL FEES:93206 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:4753918 ENGLEWOOD HEALTH ALLIANCE ACO LLC 350 ENGLE STREET ENGLEWOOD NJ 07631 465759919 HEALTHCARE NJ 0 10 ENG HOSPITAL ENGLEWOOD HEALTH ACO LLC 350 ENGLE STREET ENGLEWOOD NJ 07631 822282888 HEALTHCARE NJ 0 5000 ENG HOSPITAL ENGLEWOOD HOSPITAL & MEDICAL CENTER FDN 350 ENGLE STREET ENGLEWOOD NJ 07631 223367281 FUNDRAISING NJ 501(C)(3) 7 ENG HEALTH false ENGLEWOOD HEALTHCARE SYSTEM 350 ENGLE STREET ENGLEWOOD NJ 07631 222749097 HEALTHCARE NJ 501(C)(3) 12B NA false ENGLEWOOD HEALTHCARE PROPERTIES INC 350 ENGLE STREET ENGLEWOOD NJ 07631 222943092 PROPERTY ACQ NJ 501(C)(2) ENG HEALTH false ENGLEWOOD MEDICAL ASSOCIATES INC 350 ENGLE STREET ENGLEWOOD NJ 07631 223446625 HEALTHCARE NJ 501(C)(3) 12A ENG HOSPITAL true MEDICAL ASSOCIATES OF ENGLEWOOD PC 350 ENGLE STREET ENGLEWOOD NJ 07631 452548322 HEALTHCARE NJ 501(C)(3) 12A ENG HOSPITAL true EMERGENCY PHYSICIANS OF ENGLEWOOD PC 350 ENGLE STREET ENGLEWOOD NJ 07631 454604076 HEALTHCARE NJ 501(C)(3) 12A ENG HOSPITAL true PHYSICIAN PARTNERS OF ENGLEWOOD PC 350 ENGLE STREET ENGLEWOOD NJ 07631 455597971 HEALTHCARE NJ 501(C)(3) 12A ENG HOSPITAL true ENGLEWOOD HEALTHCARE ENTERPRISES INC 350 ENGLE STREET ENGLEWOOD NJ 07631 222872393 HEALTHCARE SVCS. NJ NA C CORP. false false false true true true false false false false true false false false true true true true true false MEDICAL ASSOCIATES OF ENGLEWOOD PC D 893773 COST MEDICAL ASSOCIATES OF ENGLEWOOD PC J 54600 COST SCHEDULE R, PART V THIS ORGANIZATION IS A MEMBER OF ENGLEWOOD HEALTH AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THE SYSTEM'S ENTITIES WORK TOGETHER TO DELIVER HIGH-QUALITY COST-EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.